Individual
JEFFREY R GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8150 N CENTRAL EXPY, SUITE M1001, DALLAS, TX 75206-1815
(214) 221-0022
(214) 691-8292
Mailing address
8150 N CENTRAL EXPY, STE M1001, DALLAS, TX 75206-1815
(214) 221-0022
(214) 691-8292
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H4934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060043414
RR MCARE
TX
05
—
139652508
—
TX
05
—
139652516
—
TX
01
—
2316140
BLUELINK
TX
Enumeration date
05/28/2006
Last updated
07/08/2007
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