MEDICARE: DR. KEVIN BRADLEY WALDREP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	N9326	TX

General Provider Information

NPI Number	:	1790912061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN BRADLEY WALDREP M.D.

Provider Business Mailing Address
First Line	:	7777 FOREST LN STE B111
Second Line	:	SUITE B-111
City	:	DALLAS
State	:	TX
Zip	:	75230-2539
Country	:	US
Telephone Number	:	972-566-5556
Fax Number	:	972-566-7486

Provider Business Practice Location Address
First Line	:	7777 FOREST LN STE B111
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2539
Country	:	US
Telephone Number	:	214-934-6994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2009
Last Update Date	:	01/13/2026

Similar Medicare Providers

1841814506 — KEVIN B. WALDREP, M.D.,PLLC
Practice Location Address:

7777 FOREST LN STE B111
DALLAS, TX
75230-2539

Practice Phone: 972-566-4204
Practice Fax:

1568752525 — ALF HOME OF HOPE LLC
Practice Location Address:

2539 KIRKLEY ST
DALLAS, TX
75241-4872

Practice Phone: 214-372-1492
Practice Fax:

1487093191 — LAURA AN DINH D.D.S.
Practice Location Address:

2611 ROSS AVE , #6020
DALLAS, TX
75201-2539

Practice Phone: 337-258-0226
Practice Fax:

1164876124 — MAREY ENTERPRISES TRANSPORT INC
Practice Location Address:

13005 JASONCREST TRL
DALLAS, TX
75243-2539

Practice Phone: 214-299-0400
Practice Fax: 888-877-3718

1851223424 — TINA M JONES
Practice Location Address:

11700 PRESTON RD STE 720
DALLAS, TX
75230-6117

Practice Phone: 817-344-0854
Practice Fax:

1174110324 — ALEXANDRA NOVOA CCC-SLP
Practice Location Address:

12400 PRESTON RD
DALLAS, TX
75230-1866

Practice Phone: 972-661-3111
Practice Fax:

Directions to “ DR. KEVIN BRADLEY WALDREP M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.