Individual
MISS ARDIS ANN REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH RD LD CDE
Contact information
Practice address
3851 RODGER BROOKE DR. FORT SAM, MCHE-QD/CREDENTIALS BROOKE ARMY MEDICAL CENTER, HOUSTON, TX 78234-6200
(210) 916-2460
(210) 916-5102
Mailing address
3851 RODGER BROOKE DR. FORT SAM, MCHE-QD/CREDENTIALS BROOKE ARMY MEDICAL CENTER, HOUSTON, TX 78234-6200
(210) 916-2460
(210) 916-5102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051-0318
CERTIFIED DIABETIC EDUCATOR-NATIONAL CERTIFICATION BOARD FOR DIABETIC EDUCATORS
IL
01
—
886470
REGISTERED DIETITIAN- COMMISSION ON DIETETIC REGISTRATION
IL
01
—
DT07150
LICENSED DIETITIAN
TX
Enumeration date
10/16/2008
Last updated
10/16/2008
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