Individual
DR. JAMES TREVER RESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
METHODIST FAMILY HEALTH CENTER - FIREWHEEL, 4430 LAVON DRIVE, STE 350, GARLAND, TX 75040
(972) 530-8590
(972) 530-8625
Mailing address
1101 W I30, SUITE # 101, ROYSE CITY, TX 75189
(972) 636-9144
(972) 636-9146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7362
TX
208000000X
Pediatrics Physician
J7362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105124501
—
TX
05
—
105124502
—
TX
01
—
110171756
RR MEDICARE
TX
01
—
86109G
BCBS
TX
Enumeration date
05/18/2006
Last updated
01/09/2020
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