Dr Paul Davidson Reagan, DDS is a
Dentist based in Naval Air Station/ Jrb, Texas. Dr Paul Davidson Reagan is licensed to practice in Texas (license number 013018) and his current practice location is
1711 Doolittle Ave, Naval Air Station/ Jrb, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 782-5718.
NPI number for Dr Paul Davidson Reagan is 1134129661 and his current mailing address is 8000 Vineyard Ct, Burleson, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134129661.
Healthcare Provider's Profile
Full Name | Dr Paul Davidson Reagan |
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Gender | Male |
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Speciality | Dentist |
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Location | 1711 Doolittle Ave, Naval Air Station/ Jrb, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134129661
- Provider Enumeration Date: 07/27/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Paul Davidson Reagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134129661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 013018 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Davidson Reagan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Paul Davidson Reagan, DDS 8000 Vineyard Ct, Burleson, TX 76028-2486 Ph: (817) 453-7512 | Dr Paul Davidson Reagan, DDS 1711 Doolittle Ave, Naval Air Station/ Jrb, TX 76127-1133 Ph: (817) 782-5718 |
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