Organization
DALLAS-FORT WORTH SARCOMA GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERHARD EMIL MAALE M.D. (PRESIDENT)
(214) 691-9777
Entity
Organization
Contact information
Practice address
4001 W 15TH ST STE 300, PLANO, TX 75093-5802
(214) 691-9777
(214) 691-1123
Mailing address
4001 W 15TH ST STE 300, PLANO, TX 75093-5802
(214) 691-9777
(214) 691-1123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348955-09
—
TX
05
—
1482887-01
—
TX
01
—
8F2478
BLUE CROSS BLUE SHIELD ID
TX
Enumeration date
04/03/2006
Last updated
05/25/2023
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