Individual
DR. MARK BRENDAN REEDY X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8600
(806) 775-8586
Mailing address
6107 88TH PL, LUBBOCK, TX 79424-0839
(325) 665-0118
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
H8348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122327306
—
TX
05
—
122327308
—
TX
05
—
122327315
—
TX
01
—
H08KE62101
BCBS
TX
Enumeration date
06/14/2005
Last updated
03/16/2021
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