Individual
DR. REYNALDO PEDROLA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13737 NOEL ROAD, STE 1400, DALLAS, TX 75240-2004
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F1192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064799
RAILROAD
TX
05
—
127766702
—
TX
05
—
127766703
—
TX
05
—
127766706
—
TX
05
—
127766707
—
TX
05
—
127766708
—
TX
01
—
127766709
MEDICAID CSHCN
TX
01
—
84703K
BCBS
TX
Enumeration date
12/30/2005
Last updated
09/13/2013
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