Individual
PROF. KALLENE SUMMER MOREIRA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
1430 EMPIRE CENTRAL DR, DALLAS, TX 75247-4032
(214) 645-8500
(214) 648-3775
Mailing address
3440 RANKIN ST APT B, DALLAS, TX 75205-1288
(214) 648-3775
(214) 648-3775
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48643
TX
Other
Enumeration date
01/27/2026
Last updated
01/28/2026
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