Individual
MR. REYES BANDA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2408 SAILFISH AVE, PHARR, TX 78577-7019
(956) 212-8039
Mailing address
2408 SAILFISH AVE, PHARR, TX 78577-7019
(956) 212-8039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86290759
TX
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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