Provider Demographics
NPI:1942637020
Name:BILLINGS, REX
Entity type:Individual
Prefix:
First Name:REX
Middle Name:
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 CEDARBRUSH DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-2902
Mailing Address - Country:US
Mailing Address - Phone:214-533-0682
Mailing Address - Fax:972-480-8099
Practice Address - Street 1:1909 N GLENVILLE DR STE 106
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1992
Practice Address - Country:US
Practice Address - Phone:972-480-0109
Practice Address - Fax:972-480-8099
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1377324174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator