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Octavia Reed

Contractor in Mansfield, TX. Individual provider (NPI-1).

NPI number1598201493
StatusActive
Last updated in NPPESJan 16, 2017

Details

NPI
1598201493
Entity type
Individual (NPI-1)
Name
Octavia Reed
Sex
Female
Sole proprietor
No
Enumeration date
Jan 16, 2017
Last updated
Jan 16, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

2505 Goodnight Trl
Mansfield, TX 76063-7565

Phone 808-780-4672

Mailing address

2505 Goodnight Trl
Mansfield, TX 76063-7565

Phone 808-780-4672

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Contractor providers in Mansfield, TX

All 5 Contractor providers in Mansfield · All 2,284 providers in Mansfield

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