Individual
GLADVIN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-8998
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(405) 210-0274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18110
TX
Other
Enumeration date
08/24/2021
Last updated
12/03/2024
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