# DR CARLOS REYES-PESCADOR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARLOS REYES-PESCADOR
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891946786
- **Legal business name:** CARLOS REYES-PESCADOR
- **Authorized official:** DR. CARLOS REYES-PESCADOR MD (OWNER)
- **Authorized official phone:** (972) 279-1700

## Contact information

- **Practice address:** 1000 ENGLISH RD, BLUE BONNET ESTATES, ROCKWALL, TX 75032-8288
- **Practice address phone:** (972) 524-5617
- **Practice address fax:** (972) 524-1035
- **Mailing address:** 1800 N GALLOWAY AVE, SUITE \# 100, MESQUITE, TX 75149-2299
- **Mailing address phone:** (972) 279-1700
- **Mailing address fax:** (971) 279-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G4693 | TX | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 10/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 031940201 | — | TX |