Healthcare Provider Details

I. General information

NPI: 1033473731
Provider Name (Legal Business Name): LAUREN DIANE REED DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN DIANE HOLLOWAY

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19510 KUYKENDAHL RD STE D
SPRING TX
77379-3481
US

IV. Provider business mailing address

19510 KUYKENDAHL RD STE D
SPRING TX
77379-3481
US

V. Phone/Fax

Practice location:
  • Phone: 346-336-0616
  • Fax: 346-808-6006
Mailing address:
  • Phone: 346-336-0616
  • Fax: 346-808-6006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number2144
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2144
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: