Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | F9999 | TX |
NPI | 1306824701 |
---|---|
Provider Name | Jane C Reed |
First Address | The Woodlands, TX 77380-3279 |
Second Address | The Woodlands, TX 77380-3279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 17/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114899103 | (05) | TX |
8L10999 | (02) | TX |