CONNIE LAVONNE REID


Address: 216 Abel Dr, Glenn Heights, TX 75154-3862
Phone: 4693230560

CONNIE LAVONNE REID (NPI# 1073123543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073123543
Entity Type Individual
Full Name CONNIE LAVONNE REID
Credential HAIR LOSS SPECIALIST
Practice Address 216 Abel Dr
Glenn Heights
TX 75154-3862
Practice Telephone 4693230560
Mailing Telephone 4693230560
Enumeration Date 2020-08-08
Last Update Date 2020-08-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
TX Other Service Providers
N 224P00000X Prosthetist TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 216 ABEL DR
City GLENN HEIGHTS
State TX
Zip Code 75154-3862

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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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Competitor

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City GLENN HEIGHTS
Zip Code 75154

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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