Individual
DR. ADAM GALLARDO ARREDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
128 N HIGHWAY 77, WAXAHACHIE, TX 75165-1800
(972) 938-7319
(972) 923-9535
Mailing address
128 N HIGHWAY 77, WAXAHACHIE, TX 75165-1800
(972) 938-7319
(972) 923-9535
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K7648
TX
207L00000X
Anesthesiology Physician
Primary
K7648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1429474-01
—
TX
01
—
7035048
AETNA PROVIDER NUMBER
TX
01
—
8Z0632
BCBS PROVIDER NUMBER
TX
Enumeration date
10/31/2005
Last updated
12/10/2020
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