Individual
JAMES BREGG REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 N LAMAR ST, FORT WORTH, TX 76196
(817) 884-3204
Mailing address
200 W MAGNOLIA AVE STE 200, FORT WORTH, TX 76104-7657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12912
TX
Other
Enumeration date
02/24/2020
Last updated
08/25/2021
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