DOCTORS REFFINO PEREYRA AND BASILICO FAMILY PRACTICE, PA
Ambulatory Health at Campbell Rd, Dallas, TX

License number
Texas K6534
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. LEOPOLDO MARIO BASILICO MD
Title: PRESIDENT
Phone: (972) 267-6653
Address
Address
7522 Campbell Rd, Dallas, TX 75248
National Provider ID: 1346468188
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOCTORS REFFINO PEREYRA AND BASILICO FAMILY PRACTI

7522 Campbell Rd STE 100, Dallas, TX 75248

Doing business as:
Doctors Reffino Pereyra and Basilico Family Practice, PA
Registration:
Nov 9, 1998
State ID:
0081942703
Business type:
Professional Association
Director , Member , Presidents:
Maria R Reffino Pereyra (Director , Member , Secretary),Leopoldo M. Basilico (Director , Member , President)
TIN:
17527891190

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