Individual
JOHN DAVID BADDOUR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
Mailing address
6125 LUTHER LN # 236, DALLAS, TX 75225-6202
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125-076306
IL
207L00000X
Anesthesiology Physician
Primary
U8508
TX
207R00000X
Internal Medicine Physician
076306
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
06/27/2024
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