Healthcare Provider Details

I. General information

NPI: 1255620811
Provider Name (Legal Business Name): ARMANDO EMILIO REID DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6137 KIRBY DR
HOUSTON TX
77005-3148
US

IV. Provider business mailing address

2536 AMHERST ST STE. A
HOUSTON TX
77005-3207
US

V. Phone/Fax

Practice location:
  • Phone: 713-490-8888
  • Fax: 713-490-6462
Mailing address:
  • Phone: 713-490-8880
  • Fax: 713-490-6464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number055405
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number28557
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: