Individual
MS. GAIL A MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(800) 849-3597
Mailing address
9780 HIGHLAND PRAIRIE LN, FORNEY, TX 75126-9547
(972) 564-5585
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TXPA00866
TX
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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