Individual
MAJD I JARADAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4907 S COLLINS ST, SUITE 101, ARLINGTON, TX 76018-1156
(817) 375-0610
(817) 375-0640
Mailing address
901 W WALL ST, SUITE 101, GRAPEVINE, TX 76051-7414
(817) 488-6669
(817) 488-6671
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01046695
IN
207RN0300X
Nephrology Physician
Primary
M5250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196443904
—
TX
05
—
196443906
—
TX
01
—
7002130
CIGNA
TX
01
—
7220017
AETNA
TX
01
—
8AT814
BCBS
TX
01
—
P000789480
RAILROAD MEDICARE
—
Enumeration date
04/18/2006
Last updated
06/05/2014
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