Provider Demographics
NPI:1992044994
Name:REDER, KARL H JR (CST)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:H
Last Name:REDER
Suffix:JR
Gender:M
Credentials:CST
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Mailing Address - Street 1:14116 RODEO DAZE DR
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-2927
Mailing Address - Country:US
Mailing Address - Phone:817-800-8386
Mailing Address - Fax:817-295-4992
Practice Address - Street 1:14116 RODEO DAZE DR
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-2927
Practice Address - Country:US
Practice Address - Phone:817-800-8386
Practice Address - Fax:817-295-4992
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist