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General NPI Number Information
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NPI Number | 1528079605
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Entity Type | Individual
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Provider Name | MICHAEL THOMAS REID D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 1408 S. FRONT ST.
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City | BELLVILLE
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State | TX
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Zip | 77418
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Country | US
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Telephone | 979-865-5320
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Fax |
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Provider Business Mailing Address
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Address Line | 17206 BLUE MOUND TER
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City | HOUSTON
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State | TX
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Zip | 77095-7132
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Country | US
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Telephone | 281-256-3437
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC9424
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License Number State | TX
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