Reder, Paul A

Reder, Paul A is an individual health care provider with primary practice located at 34910 Interstate 10 W , Boerne TX 78006-9229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Reder, Paul A can be contacted via phone (361) 994-4880.

Contact Information

Primary practice address
34910 Interstate 10 W Boerne TX 78006-9229
Fax: (361) 994-4890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 101249 Wisconsin
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X J7153 Texas

Profile Details

NPI number 1871521567
LBN Legal business name Reder, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871521567 NPPES
Texas MEDICAID 135322914
Texas Other 8S4592
Texas MEDICAID 1353229-12
Texas Other 8BR082
Texas MEDICAID 135322913
Texas MEDICAID 135322916

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