Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 2144 | TX |
N | 222Z00000X | Podiatrist | 2144 | TX |
Y | 213ES0103X | Foot & Ankle Surgery | 2144 | TX |
NPI | 1033473731 |
---|---|
Provider Name | Lauren Diane Reed |
First Address | Houston, TX 77090-2611 |
Second Address | Humble, TX 77338-3916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 22/09/2021 |