Kyle Felipe Reyes Dacdac, MD
Student in an Organized Health Care Education/Training Program in Dallas, TX. Individual provider (NPI-1).
NPI number1013768340
StatusActive
Last updated in NPPESMar 27, 2024
Details
- NPI
- 1013768340
- Entity type
- Individual (NPI-1)
- Name
- Kyle Felipe Reyes Dacdac
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2024
- Certification date
- Mar 27, 2024
- Last updated
- Mar 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3500 Gaston AveDallas, TX 75246-2088
Phone 214-820-0111
Mailing address
3500 Gaston AveDallas, TX 75246-2088
Phone 214-820-0111
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