MEDICARE: STEPHEN REED

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	1744R1102X	Research Study Specialist

General Provider Information

NPI Number	:	1174130819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN REED

Provider Business Mailing Address
First Line	:	200 ISLAND VIEW DR
Second Line	:
City	:	POTTSBORO
State	:	TX
Zip	:	75076-4618
Country	:	US
Telephone Number	:	469-441-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 ISLAND VIEW DR
Second Line	:
City	:	POTTSBORO
State	:	TX
Zip	:	75076-4618
Country	:	US
Telephone Number	:	469-441-1700
Fax Number	:

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

Provider Enumeration Date	:	09/27/2020
Last Update Date	:	09/27/2020

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Directions to “ STEPHEN REED ” Practice Location

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