Individual
GLADYS IRENE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
835 RIVER WALK TRL, GEORGETOWN, TX 78633-5377
(512) 943-0914
Mailing address
835 RIVER WALK TRL, GEORGETOWN, TX 78633-5377
(512) 943-0914
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01055972
IN
2085R0001X
Radiation Oncology Physician
Primary
R4433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374430
—
IN
01
—
P00103259
RAILROAD MEDICARE PIN
IN
01
—
P01155989
RAILROAD MEDICARE PIN
IN
Enumeration date
08/16/2005
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us