Individual
SADIE CHRISTINE LADDUSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1000
Mailing address
210 E 79TH ST, KANSAS CITY, MO 64114-1924
(308) 482-0044
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32697667
TX
Other
Enumeration date
11/18/2019
Last updated
07/09/2020
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