Organization
DAVIDA J. WARDELL, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA WHITWORTH (BILLING SUPERVISOR)
(903) 727-0110
Entity
Organization
Contact information
Practice address
111 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 729-5333
Mailing address
111 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 729-5333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
06/24/2010
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