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NPI Code Detail

MEDICARE: ROBERT WILLIAM GLADNEY M.D.

MEDICARE: ROBERT WILLIAM GLADNEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207V00000XObstetrics & Gynecology PhysicianS3663TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134507007
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT WILLIAM GLADNEY M.D.
Provider Business Mailing Address
First Line : 4224 SWISS AVE STE 201
Second Line :
City : DALLAS
State : TX
Zip : 75204-6670
Country : US
Telephone Number : 214-821-9938
Fax Number :
Provider Business Practice Location Address
First Line : 4224 SWISS AVE STE 201
Second Line :
City : DALLAS
State : TX
Zip : 75204-6670
Country : US
Telephone Number : 214-821-9938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2015
Last Update Date : 05/28/2023

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Directions to “ ROBERT WILLIAM GLADNEY M.D.” Practice Location

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