Provider Demographics
NPI:1851448815
Name:REED, ERIC D (DO)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:REED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2322
Mailing Address - Country:US
Mailing Address - Phone:903-577-1101
Mailing Address - Fax:903-577-0771
Practice Address - Street 1:301 W 19TH ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2322
Practice Address - Country:US
Practice Address - Phone:903-577-1101
Practice Address - Fax:903-577-0771
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3091207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147544401Medicaid
TX8F0890OtherBCBS
TX8757N0Medicare ID - Type Unspecified
TX147544401Medicaid