Individual
DIEGO F. RESTREPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 75020-4587
(903) 416-6025
(903) 416-6138
Mailing address
5012 S US HIGHWAY 75 STE 300, ATT: BILLING, DENISON, TX 75020-4589
(903) 416-6025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N4698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428400A
—
OK
05
—
297110301
—
TX
Enumeration date
10/21/2008
Last updated
01/26/2018
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