DUSTIN L. REID, MD PA
Radiology in Austin, TX

License number
Texas M1314
Category
Medical Practice
Type
Plastic Surgery
License number
Texas M1314
Category
Radiology
Type
Plastic and Reconstructive Surgery
Owner
Name: DR. DUSTIN L REID MD
Title: OWNER
Phone: (512) 371-8817
Address
Address
901 W. 38 St. SUITE 401, Austin, TX 78705
National Provider ID: 1477675254
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DUSTIN L. REID, M.D., PA

901 W 38 St STE 401, Austin, TX 78705

Registration:
Mar 10, 2005
State ID:
0800464479
Business type:
Professional Association
Member , Secretary , Vice-President , Executive Committees:
Dustin L. Reid (President, Treasurer, Director, Member),Ashley E. Gordon (Member , Secretary , Vice-President , Executive Committee)
Agent:
Reid Dustin,901 W 38 St SUITE 401, Austin, TX 78705 (Physical)
TIN:
13715060516

Dustin L. Reid, M.D., PA

3705 Medical Pkwy, Austin, TX 78705

Industry:
Medical Doctor's Office
Medical Doctor:
Adam Solomon Lipp (Medical Doctor)

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