Individual
DONALD RALPH GLADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6300 LA CALMA DRIVE, STE. 200, LA COSTA CENTER, AUSTIN, TX 78752
(512) 452-8533
Mailing address
6300 LA CALMA DR STE 200, LA COSTA CENTRE, AUSTIN, TX 78752-3825
(512) 452-8533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A1217-03
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178092602
—
TX
05
—
178092604
—
TX
05
—
178092605
—
TX
05
—
178092606
—
TX
05
—
178092607
—
TX
Enumeration date
05/27/2006
Last updated
03/19/2013
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