Provider Demographics
NPI:1558038802
Name:RADFORD, REED
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:
Last Name:RADFORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 HANBURY CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2228
Mailing Address - Country:US
Mailing Address - Phone:713-705-9607
Mailing Address - Fax:
Practice Address - Street 1:10161 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8643
Practice Address - Country:US
Practice Address - Phone:281-295-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician