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Individual

CAROLYN M. REKERDRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(214) 351-3490
Mailing address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(214) 351-3490

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N1099
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP1-0026072
INSTITUTIONAL PERMIT
Enumeration date
06/12/2007
Last updated
05/15/2014
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