Individual
DR. MARIA FIDES M PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 S LANCASTER RD, SCI SERVICE (128), DALLAS, TX 75216-7167
(214) 857-1757
Mailing address
4500 S. LANCASTER RD, SCI / 128, DALLAS, TX 75216-7167
(214) 857-1757
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
MD420282
PA
2081P0004X
Spinal Cord Injury Medicine Physician
P3049
TX
Other
Enumeration date
08/19/2006
Last updated
02/25/2019
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