Individual
JESUS REY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7999 WEST VIRGINIA DR, STE D, DALLAS, TX 75237-3845
(972) 709-6911
(972) 298-5240
Mailing address
800 ORTHOPEDIC WAY, ARLINGTON, TX 76015-1629
(817) 375-5375
(817) 299-1706
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LP00474
RI
207X00000X
Orthopaedic Surgery Physician
Primary
N1100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP 00474
LICENSE
RI
Enumeration date
11/09/2006
Last updated
07/06/2021
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