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Donovan Stephen Reed, MD
Ophthalmic Plastic and Reconstructive Surgery Physician in Jbsa Lackland, Texas
NPI 1154777407

Donovan Stephen Reed is a Ophthalmic Plastic and Reconstructive Surgery Physician based in Jbsa Lackland, TX and is specialized in Ophthalmic Plastic and Reconstructive Surgery. Donovan Stephen Reed practices in Jbsa Lackland, TX and has the professional credentials of MD. The NPI Number for Donovan Stephen Reed is 1154777407 and holds a License No. (Texas).

The current practice location address for Donovan Stephen Reed is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX and can be reached out via phone at 210-292-6030.

Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154777407
Provider Name
Donovan Stephen Reed
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
Phone Number
210-292-6030
Fax Number
Provider Enumeration Date
05/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
411056101 05 TX
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-6030
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-6030
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
S4848 (Texas)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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