Individual
MELISSA REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 STATE HIGHWAY 161 STE 100, IRVING, TX 75039-3800
(972) 853-5033
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V7631
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2022
Last updated
07/01/2025
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