Doctor Name: | DEBREKA REED |
NPI Number: | 1437520111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP129165 |
Business Practice Address: | 2600 Fm 1764 Rd Ste 190 La Marque, TX - 775682826 |
Business Phone Number: | 2818868964 |
Business Fax Number: | |
Mailing Address: | 14423 Lazy Willow Ct, MISSOURI CITY |
State: | TX |
Postal Code: | 774891858 |
Phone Number: | 7132593598 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2015 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP129165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |