Individual
ADRIANA SOFIA ARDELJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
540 W 15TH ST, HEREFORD, TX 79045-2820
(806) 364-2141
(806) 349-9387
Mailing address
540 W 15TH ST, HEREFORD, TX 79045-2820
(806) 364-2141
(806) 349-9387
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101018363
MI
208600000X
Surgery Physician
Primary
P9796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942439443
—
TX
Enumeration date
07/07/2009
Last updated
08/05/2014
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