Provider Demographics
NPI:1679074488
Name:REYES, DAYANELIE (PA-C)
Entity type:Individual
Prefix:
First Name:DAYANELIE
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ADAMS AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4656
Mailing Address - Country:US
Mailing Address - Phone:432-614-0285
Mailing Address - Fax:806-803-9428
Practice Address - Street 1:500 ADAMS AVE STE 700
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4656
Practice Address - Country:US
Practice Address - Phone:432-614-0285
Practice Address - Fax:806-803-9428
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11601363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant