Provider Demographics
NPI:1164665162
Name:CLARK-REED, MONICA ANDREA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ANDREA
Last Name:CLARK-REED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11160 FONDREN RD FL 10
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5506
Mailing Address - Country:US
Mailing Address - Phone:832-683-4132
Mailing Address - Fax:832-683-4133
Practice Address - Street 1:11160 FONDREN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5506
Practice Address - Country:US
Practice Address - Phone:832-530-4444
Practice Address - Fax:832-683-4133
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM71202083P0500X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine