Individual
DANIELA GAMBOA SEJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1173 W JOHN CARPENTER FREEWAY, SUITE 102, IRVING, TX 75039
(469) 947-6020
(469) 947-6021
Mailing address
6828 DELEON ST, IRVING, TX 75039-3437
(703) 725-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N8188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200302930 A
—
OK
05
—
217849301
—
TX
05
—
217849303
—
TX
05
—
63127881
—
NM
01
—
8DS368
BCBS
TX
01
—
P01217236
RAILROAD MEDICARE
TX
Enumeration date
08/29/2007
Last updated
02/25/2021
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