Peter Reeves

   
 BAYLOR SCOTT & WHITE 
 Williams, Charles Eugene 
 BaylorScott&White 
 HEART AND VASCULAR 
 MRN: 9211639, DOB: December 23, 1992, Sex: M 
 HEALTH 
 HOSPITAL - DALLAS 
 Date of Service August 08, 2017
 621 N HALL ST 
 DALLAS TX 75396-1339
February 18, 2024 - Procedure Pass in Hospital  
 Visit Information 
 Admission Information 
 Arrival Date/Time: 
 Admit Date/Time: 
 February 25, 2023
 IP Adm. Date/Time: 
 Admission Type: 
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 Admit Category: 
 Means of Arrival: 
 Primary Service: 
 Secondary Service: N/A 
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 February 18, 2024 - Procedure Pass in Baylor Scott & White Heart and Vascular Hospital - Dallas 
 Facesheet 
 Patient Information 
 Patient Name 
 Legal Sex 
 DOB 
 Williams, Charles Eugene (3911639) 
 Male 
 December 23, 1992 
 Basic Information 
 Date Of Birth 
 Legal Sex 
 Race 
 Ethnic Group 
 Preferred Language 
 Language for Written 
December 23, 1992 
 Male 
 Black or African 
 Not Hispanic or 
 English 
 Material 
 American 
 Latino 
 English 
 
 Printed on December 23, 1992 10:22 AM 
 Page 139 
 7539 8-39  
 Baylor Scott & White Heart & Vascular Hospital - 00139 
