Basic Information
| Provider Information | |||||||||
| NPI: | 1164818001 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REID | ||||||||
| FirstName: | MATTHEW | ||||||||
| MiddleName: | BUTLER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6767 LAKE WOODLANDS DR | ||||||||
| Address2: | STE F | ||||||||
| City: | THE WOODLANDS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773822566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813641122 | ||||||||
| FaxNumber: | 2812102446 | ||||||||
| Practice Location | |||||||||
| Address1: | 6400 FANNIN ST | ||||||||
| Address2: | SUITE 1700 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770301521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134867500 | ||||||||
| FaxNumber: | 7135127240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2015 | ||||||||
| LastUpdateDate: | 07/06/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | T1821 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
No ID Information.