Dr. Mark Brendan Reedy X
Gynecologic Oncologist
602 Indiana Ave
Lubbock
, Texas 79415-3364
Dr. Mark Brendan Reedy X
Gynecologic Oncologist
602 Indiana Ave
Lubbock
, Texas 79415-3364
(325) 665-0118
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Mark Brendan Reedy X
- 6107 88th Pl
- Lubbock, TX
- Zip : 79424-0839
- Phone : (325) 665-0118
Second Address
- Dr. Mark Brendan Reedy X
- 602 Indiana Ave
- Lubbock, TX
- Zip : 79415-3364
- Fax : (806) 775-8586
- Phone : (806) 775-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | H8348 | TX |
National Provider Identifier
| NPI | 1487659876 |
|---|---|
| Provider Name | Dr. Mark Brendan Reedy X |
| First Address | Lubbock, TX 79424-0839 |
| Second Address | Lubbock, TX 79415-3364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2005 |
| Last Update Date | 16/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 122327306 | (05) | TX |
| 122327308 | (05) | TX |
| 122327315 | (05) | TX |
| F71874 | (02) | TX |
| H08KE62101 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.