Organization
DR CARLOS REYES-PESCADOR
Active
Parent organization
CARLOS REYES-PESCADOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARLOS REYES-PESCADOR
Authorized official
DR. CARLOS REYES-PESCADOR MD (OWNER)
(972) 279-1700
Entity
Organization
Contact information
Practice address
1000 ENGLISH RD, BLUE BONNET ESTATES, ROCKWALL, TX 75032-8288
(972) 524-5617
(972) 524-1035
Mailing address
1800 N GALLOWAY AVE, SUITE # 100, MESQUITE, TX 75149-2299
(972) 279-1700
(971) 279-1102
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G4693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031940201
—
TX
Enumeration date
10/09/2008
Last updated
10/09/2008
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