Individual
JOHN W JADERLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W OAK ST STE 102, DENTON, TX 76201-2381
(940) 387-2241
(940) 380-1374
Mailing address
2401 W OAK ST STE 102, DENTON, TX 76201-2381
(940) 387-2241
(940) 380-1374
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G5207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120308501
—
TX
05
—
120308503
—
TX
05
—
120308505
—
TX
05
—
120308506
—
TX
05
—
120308507
—
TX
05
—
120308508
—
TX
Enumeration date
09/20/2005
Last updated
10/26/2020
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