Organization
THOMAS S SUDELA MD PA
Active
Other names
Lake Pointe Women's Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JANA MORGAN (PRACTICE MANAGER)
(214) 269-3326
Entity
Organization
Contact information
Practice address
2504 RIDGE RD STE 201, ROCKWALL, TX 75087-2571
(972) 722-0404
(972) 722-7082
Mailing address
PO BOX 944, ROWLETT, TX 75030-0944
(214) 269-3326
(214) 269-3327
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
203BX0001X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G86P
BLUE CROSS BLUE SHEILD
TX
05
—
093907601
—
TX
Enumeration date
10/10/2006
Last updated
07/26/2024
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