Organization
STEVEN M GADOL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOREEN SHINN (A/R MANAGER)
(972) 784-2800
Entity
Organization
Contact information
Practice address
399 W CAMPBELL RD STE 202, RICHARDSON, TX 75080-3606
(972) 498-4401
(972) 498-4407
Mailing address
399 W CAMPBELL RD STE 202, RICHARDSON, TX 75080-3606
(972) 498-4401
(972) 498-4407
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J2945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115828903
—
TX
01
—
F67932
UPIN
TX
Enumeration date
11/07/2007
Last updated
08/19/2010
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