Healthcare Provider Details
I. General information
NPI: 1780660332
Provider Name (Legal Business Name): REED YOUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/15/2005
Last Update Date: 03/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6560 FANNIN ST 1640
HOUSTON TX
77030-2761
US
IV. Provider business mailing address
6560 FANNIN ST SUITE 1640
HOUSTON TX
77030-2761
US
V. Phone/Fax
- Phone: 713-791-9901
- Fax: 713-791-9907
- Phone: 713-791-9901
- Fax: 713-791-9907
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | G5800 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | G5800 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: