Reeder, Desirae J
Reeder, Desirae J is an individual health care provider with primary practice located at 601 W Sanford St Ste 201, Arlington TX 76011-7086. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Reeder, Desirae J can be contacted via phone (817) 569-5350.Contact Information
Primary practice address
601 W Sanford St Ste 201
Arlington TX 76011-7086
Phone: (817) 569-5350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | N8339 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | N8339 | Texas |
Profile Details
| NPI number | 1508139965 |
|---|---|
| LBN Legal business name | Reeder, Desirae J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2012 |
| Last updated | Jul 9th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508139965 | NPPES |
| Texas | Other | 8DV700 | BCBS |
| Texas | MEDICAID | 307125002 | BCBS |
| Texas | MEDICAID | 307125003 | BCBS |
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