Provider Demographics
NPI:1043338338
Name:READING, JARED TATE (MD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:TATE
Last Name:READING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MC7977
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-257-1400
Mailing Address - Fax:210-257-1428
Practice Address - Street 1:1025 GARNER FIELD RD
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4809
Practice Address - Country:US
Practice Address - Phone:830-278-6521
Practice Address - Fax:830-278-8529
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM58982085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX213416503Medicaid
TXP00983992OtherTX RAILROAD MEDICARE
TX8CX661OtherBCBS
TXTXB135816Medicare PIN
TX213416503Medicaid