Individual
DR. PEDRO JUAN LOREDO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 N PARK BLVD STE 100, GRAPEVINE, TX 76051-6900
(972) 939-4974
(817) 280-9870
Mailing address
220 N PARK BLVD STE 100, GRAPEVINE, TX 76051-6900
(972) 939-4974
(817) 280-9870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40806
KY
207XS0106X
Orthopaedic Hand Surgery Physician
N0228
TX
208600000X
Surgery Physician
4301080172
MI
2086S0105X
Surgery of the Hand (Surgery) Physician
40806
KY
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
N0228
TX
Other
Enumeration date
04/24/2007
Last updated
10/08/2024
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