Provider Demographics
NPI:1265013999
Name:REED, DARLA LORENE (RN)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:LORENE
Last Name:REED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3551 ROGER BROOK DR
Mailing Address - Street 2:ATTN: MCHE-ZDF-M
Mailing Address - City:JBSA-FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234
Mailing Address - Country:US
Mailing Address - Phone:210-539-0941
Mailing Address - Fax:210-539-0203
Practice Address - Street 1:10010 ROGERS XING STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4766
Practice Address - Country:US
Practice Address - Phone:210-539-0941
Practice Address - Fax:210-530-0203
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675596171M00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675596OtherTEXAS BOARD OF NURSING