Individual
JESUS REBOLLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31047 STATE HIGHWAY 100, LOS FRESNOS, TX 78566-4240
(956) 372-5529
Mailing address
32316 STATE HIGHWAY 100, LOS FRESNOS, TX 78566-4329
(956) 372-5529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1214668
TX
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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