Organization
DAYAKER R. GAGADAM M.D.PA
Active
Organization
DAYAKER R. GAGADAM M.D.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYAKER RAO GAGADAM M.D., (PRESIDENT)
(817) 293-3000
Entity
Organization
Contact information
Practice address
11803 SOUTH FWY, SUITE 208, BURLESON, TX 76028-7012
(817) 293-3000
(817) 293-3291
Mailing address
11803 SOUTH FWY, SUITE 208, BURLESON, TX 76028-7012
(817) 293-3000
(817) 293-3291
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K3195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122066703
—
TX
Enumeration date
07/25/2011
Last updated
07/25/2011
Update your record
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