Individual
MS. MICHAEL J PENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3409 WORTH ST, SUITE 500, DALLAS, TX 75246-2029
(214) 824-1730
(214) 283-4337
Mailing address
3409 WORTH ST, SUITE 500, DALLAS, TX 75246-2029
(214) 824-1730
(214) 283-4337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
L4638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1668931-01
—
TX
Enumeration date
11/09/2006
Last updated
04/07/2022
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