| Organization Name: | DR CARLOS REYES-PESCADOR |
| NPI Number: | 1891946786 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS REYES-PESCADOR (OWNER) |
| Mailing Address: | 1000 English Rd Blue Bonnet Estates Rockwall |
| State: | TX US |
| Postal Code: | 750328288 |
| Phone Number: | 9725245617 |
| Fax Number: | 9725241035 |
| NPI Enumeration Date: | 10/09/2008 |
| NPI Last Update Date: | 10/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G4693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |