Individual
KYLE REDDEN DALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20725 HIGHWAY 46 W, SPRING BRANCH, TX 78070-6270
(830) 438-4010
Mailing address
20725 HIGHWAY 46 W, SPRING BRANCH, TX 78070-6270
(830) 438-4010
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
759564
TX
183700000X
Pharmacy Technician
Primary
297540
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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