Individual provider · Type 1 NPI

Trivikram Reddy

Family Nurse Practitioner · Corsicana, TX

NPI number 1700154010 Active · reactivated Apr 17, 2019

Practice location

3201 W Highway 22
Corsicana, TX 75110-2450

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP121198 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1700154010

Trivikram Reddy's National Provider Identifier is 1700154010, issued on Dec 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Corsicana, TX. The record was last updated on Apr 17, 2019.