Mbidx

Specialty details in registry · Dallas, TX

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At a glance

1720 Regal Row Ste 228, Dallas, TX 75235-2219

NPPES record updated Jan 26, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1720 Regal Row Ste 228
Dallas, TX 75235-2219

Professional details: NPI, taxonomy & registry record

NPI1124999800

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 291U00000X
Enumeration date: Sep 15, 2025
Record updated: Jan 26, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

291U00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1720 Regal Row Ste 228
Dallas, TX 75235-2219

Phone: (619) 995-1299
Fax: (619) 837-2788

Mailing address

1524 VISTA VEREDA

EL CAJON, CA 920193808

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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