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Organization

JOHN C GUEDALIA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN C GUEDALIA MD (PRESIDENT)
(972) 717-4064
Entity
Organization

Contact information

Practice address
3108 HIDALGO ST, IRVING, TX 75062-6529
(972) 717-4064
(972) 717-4064
Mailing address
PO BOX 165989, IRVING, TX 75016-5989
(972) 717-4064
(972) 717-7565

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E0331
TX

Other

Enumeration date
03/29/2011
Last updated
03/29/2011
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