KEITHEL JONATHAN BREA DE LA CRUZ MD
NPI 1073310538
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since March 03, 2025
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-5245 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Mar 10, 2025, Mar 3, 2025 (3 updates tracked since 2025).

About Keithel Jonathan Brea De La Cruz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITHEL JONATHAN BREA DE LA CRUZ MD (NPI 1073310538) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1073310538
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEITHEL JONATHAN BREA DE LA CRUZCredential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (214) 648-5245
Sole ProprietorNo
Enumeration DateMarch 3, 2025
Last NPPES UpdateApril 8, 20253 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1073310538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5323 HARRY HINES BLVD, Dallas, TX 75390

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keithel Brea De La Cruz's NPI number?

The NPI number for Keithel Brea De La Cruz is 1073310538. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Keithel Brea De La Cruz located?

Keithel Brea De La Cruz practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-5245.

What is Keithel Brea De La Cruz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keithel Brea De La Cruz was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.