SearchTexasPeriodontics

Fred Rea, D.D.S

NPI 1790875847 · on the registry since 2006 · sole proprietor

Practice

Address
806 Medical Circle Drive
Suite 300
Longview, TX 75605
Phone
(903) 236-7023
Fax
(903) 236-7723

Registry record

Primary taxonomy
Periodontics
1223P0300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas