MEDICARE: DR. MONICA ANDREA CLARK-REED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	M7120	TX
2	207Q00000X	Family Medicine Physician	M7120	TX

General Provider Information

NPI Number	:	1164665162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA ANDREA CLARK-REED MD

Provider Business Mailing Address
First Line	:	11160 FONDREN RD FL 10
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5506
Country	:	US
Telephone Number	:	832-683-4132
Fax Number	:	832-683-4133

Provider Business Practice Location Address
First Line	:	11160 FONDREN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5506
Country	:	US
Telephone Number	:	832-530-4444
Fax Number	:	832-683-4133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	01/14/2021

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