# KINGS MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144631466
- **Authorized official:** DIKI REYES FNP (OWNER)
- **Authorized official phone:** (830) 569-0051

## Contact information

- **Practice address:** 809 N BRYANT ST, PLEASANTON, TX 78064-2549
- **Practice address phone:** (830) 569-0051
- **Practice address fax:** (830) 569-0083
- **Mailing address:** PO BOX 7, PLEASANTON, TX 78064-0007
- **Mailing address phone:** (830) 569-0051
- **Mailing address fax:** (830) 569-0083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 657871 | TX | Yes |

## Other

- **Enumeration date:** 05/09/2014
- **Last updated:** 08/09/2019