Most Relevant Information
Provider Data
| NPI Number: | 1003403122 |
| Provider Name: | RENE RESENDIZ FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1021079 |
Most Important Dates
| Enumeration Date: | 12/22/2020 |
| Last Updated: | 07/01/2022 |
Provider Practice Location
2701 REAGAN ST
DALLAS
TX
752193403
Practice Location Phone/Fax
| Phone: | 2145404492 |
| Fax: | 2146151387 |
Provider Mailing Location
2701 REAGAN ST
DALLAS
TX
752193403
Provider Mailing Phone/Fax
| Phone: | 2145404492 |
| Fax: | 2146151387 |