Individual
DR. JONATHAN MOSES PRIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN STE C840, DALLAS, TX 75230-2594
(915) 540-5355
Mailing address
7777 FOREST LN STE C840, DALLAS, TX 75230-2594
(915) 540-5355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
U6326
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
U6326
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/27/2018
Last updated
01/11/2024
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