Individual
DR. CELESTE JOLLY VARDAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, C-350, DALLAS, TX 75230-2505
(972) 566-5808
Mailing address
7777 FOREST LN, C-350, DALLAS, TX 75230-2505
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H6972
TX
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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