Provider Demographics
NPI:1740244136
Name:REED, YVONNE JO (MD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:JO
Last Name:REED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:505 N RIDGEWAY DR
Mailing Address - Street 2:SUITE 283
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-5118
Mailing Address - Country:US
Mailing Address - Phone:817-517-7180
Mailing Address - Fax:817-517-7174
Practice Address - Street 1:505 N RIDGEWAY DR
Practice Address - Street 2:SUITE 283
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-5118
Practice Address - Country:US
Practice Address - Phone:817-517-7180
Practice Address - Fax:817-517-7174
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2019-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK5674207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043940803Medicaid
TX043940803Medicaid
TX00387QMedicare PIN