Individual
DR. GHADIR ABDELHADI ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
947 SCOTLAND DR STE 101, DESOTO, TX 75115-2093
(214) 217-4011
(217) 217-4016
Mailing address
947 SCOTLAND DR STE 101, DESOTO, TX 75115-2093
(214) 217-4011
(217) 217-4016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121411603
—
TX
Enumeration date
05/28/2006
Last updated
07/20/2020
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