Individual
MR. TYRONE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 LONG CREEK DR, FRESNO, TX 77545-6063
(713) 999-1272
Mailing address
PO BOX 651, MANVEL, TX 77578-0651
(713) 999-1272
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007520156
LA
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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