Basic Information
Provider Information
NPI: 1003018276
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REIMAN
FirstName: STEVEN
MiddleName: ROBERT
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1820 PRESTON PARK BLVD
Address2: 1825
City: PLANO
State: TX
PostalCode: 750933656
CountryCode: US
TelephoneNumber: 9728677862
FaxNumber: 9726121623
Practice Location
Address1: 3901 W 15TH ST
Address2:  
City: PLANO
State: TX
PostalCode: 750757738
CountryCode: US
TelephoneNumber: 9725966800
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/01/2007
LastUpdateDate: 05/17/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XM9607TXY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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