Individual
PAUL A REDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34910 INTERSTATE 10 W, BOERNE, TX 78006-9229
(361) 994-4880
(361) 994-4890
Mailing address
1620 N MAIN ST, SPANISH FORK, UT 84660-1008
(801) 822-2234
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
101249
WI
207Y00000X
Otolaryngology Physician
Primary
J7153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262986
—
WI
05
—
1353229-12
—
TX
05
—
135322913
—
TX
05
—
135322914
—
TX
05
—
135322916
—
TX
01
—
8BR082
BCBS
TX
01
—
8S4592
BCBS
TX
Enumeration date
06/29/2006
Last updated
08/14/2024
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