Individual
MR. THOMAS STEPHEN SUDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2504 RIDGE ROAD, SUITE 201, ROCKWALL, TX 75087
(972) 722-0404
(972) 722-7082
Mailing address
2504 RIDGE ROAD, SUITE 201, ROCKWALL, TX 75087
(972) 722-0404
(972) 722-7082
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E6639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114204402
—
TX
01
—
E6639
MEDICAL LICENSE
TX
Enumeration date
10/17/2005
Last updated
02/26/2024
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