Kevin B. Waldrep, M.d.,pllc

NPI #1841814506 in Dallas, Texas

Provider Information

NPI Number: 1841814506
Entity Type: Organization
Organization Name: Kevin B. Waldrep, M.d.,pllc
Primary Specialty: Surgery
Enumeration Date: May 28, 2020
Last Updated: Jun 12, 2020

Practice Location

Address: 7777 FOREST LN STE B111
City: Dallas
State: Texas
ZIP Code: 75230-2539
Phone: (972) 566-4204

Authorized Official

Name: MR. FRANCISCO A RODRIGUEZ
Title: CREDENTIAL/DIRECTOR
Phone: (972) 566-4204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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