Organization
KINGS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIKI REYES FNP (OWNER)
(830) 569-0051
Entity
Organization
Contact information
Practice address
809 N BRYANT ST, PLEASANTON, TX 78064-2549
(830) 569-0051
(830) 569-0083
Mailing address
PO BOX 7, PLEASANTON, TX 78064-0007
(830) 569-0051
(830) 569-0083
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
657871
TX
Other
Enumeration date
05/09/2014
Last updated
08/09/2019
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