Individual
KEVIN ALBUQUERQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8525
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8525
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
36106351
IL
2085R0001X
Radiation Oncology Physician
Primary
P0694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288741601
—
TX
Enumeration date
12/30/2005
Last updated
08/13/2013
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