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Individual
PAUL RICHARD GARDIAL
Active
Individual
PAUL RICHARD GARDIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E3062
AR
207Q00000X
Family Medicine Physician
Primary
M7986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04090020102
QUALCHOICE
AR
05
—
146876001
—
AR
05
—
195221002
—
TX
01
—
5M095
ARKANSAS BLUE CROSS
AR
01
—
8L13577
TEXAS BLUE CROSS BLUE SHIELD
TX
01
—
P00720347
RAIL ROAD MEDICARE
TX
Enumeration date
08/09/2005
Last updated
09/16/2013
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