Individual
DR. KEVIN BRADLEY WALDREP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE B111, DALLAS, TX 75230-2539
(214) 934-6994
Mailing address
7777 FOREST LN STE B111, SUITE B-111, DALLAS, TX 75230-2539
(972) 566-5556
(972) 566-7486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N9326
TX
Other
Enumeration date
06/15/2009
Last updated
01/13/2026
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