Individual
DR. PABLO V UCEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 BOLTON BOONE DR STE 105, DESOTO, TX 75115-2041
(214) 946-5165
(972) 296-2522
Mailing address
2801 BOLTON BOONE DR STE 105, DESOTO, TX 75115-2041
(214) 946-5165
(972) 296-2522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J4675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020041464
RR-MEDICARE
TX
05
—
118128101
—
TX
05
—
118128104
—
TX
Enumeration date
05/30/2006
Last updated
08/14/2025
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