Individual
JOSEPH V SURDACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3032 E HEBRON PKWY, SUITE 101, CARROLLTON, TX 75010-4465
(972) 865-2880
(972) 865-2870
Mailing address
3032 E HEBRON PKWY, SUITE 101, CARROLLTON, TX 75010-4465
(972) 865-2880
(972) 865-2870
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
H6641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1209175
UNITED HEALTHCARE
TX
01
—
5517131
AETNA
TX
01
—
8BW943
BLUE CROSS
TX
01
—
955906001
CIGNA
TX
Enumeration date
03/08/2006
Last updated
06/02/2014
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