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NPI Code Detail

MEDICARE: THADDIEUS A REED

MEDICARE:   THADDIEUS A 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
1174400000XSpecialist

General Provider Information

NPI Number : 1386200178
Entity Type Code : Individual
Provider Name (Legal Business Name) : THADDIEUS A REED
Provider Business Mailing Address
First Line : 3605 WILMINGTON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77051-3248
Country : US
Telephone Number : 832-902-1831
Fax Number :
Provider Business Practice Location Address
First Line : 3605 WILMINGTON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77051-3248
Country : US
Telephone Number : 832-902-1831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2019
Last Update Date : 05/16/2019

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Directions to “ THADDIEUS A REED ” Practice Location

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