Basic Information
| Provider Information | |||||||||
| NPI: | 1992367312 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | REGINALD | ||||||||
| MiddleName: | EARL | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSN FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7544 FM 1960 RD E STE 311 | ||||||||
| Address2: | |||||||||
| City: | HUMBLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773463127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8327148272 | ||||||||
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| Practice Location | |||||||||
| Address1: | 210 E HOUSTON ST | ||||||||
| Address2: | |||||||||
| City: | CLEVELAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773274512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815931500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2019 | ||||||||
| LastUpdateDate: | 08/23/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | 774675 | TX | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 363LF0000X | AP142487 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | AP142487 | 01 | TX | TEXAS APRN LICNESE | OTHER |