Provider Demographics
NPI:1386284842
Name:DALLAS REGENERATIVE AND NEUROPATHY CENTER PLLC
Entity type:Organization
Organization Name:DALLAS REGENERATIVE AND NEUROPATHY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORRILLENO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-209-8100
Mailing Address - Street 1:4700 DEXTER DR STE 400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5299
Mailing Address - Country:US
Mailing Address - Phone:469-209-8100
Mailing Address - Fax:
Practice Address - Street 1:4700 DEXTER DR STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5299
Practice Address - Country:US
Practice Address - Phone:469-209-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty