Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Willard Reddick, MD

Individual provider Family Medicine Physician · NPI 1912317587

Jacob Willard Reddick, MD is a Family Medicine Physician in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5807 63rd St Ste 200
Lubbock, TX 79424
Phone: (806) 785-0600
Fax: (806) 785-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence Q6092 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence AT5828009-960 (TX)

Record details

NPI number1912317587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2014
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address5807 63rd Street, Suite 200, Lubbock, TX 79424

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