Provider Demographics
NPI:1326058041
Name:REED, CAROL DODD (L AC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:DODD
Last Name:REED
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17700 EL CAMINO REAL
Mailing Address - Street 2:#634
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3067
Mailing Address - Country:US
Mailing Address - Phone:832-276-0407
Mailing Address - Fax:281-486-9370
Practice Address - Street 1:17313 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2718
Practice Address - Country:US
Practice Address - Phone:281-486-7044
Practice Address - Fax:281-486-9370
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00599171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist