Individual provider · NPI-1

Bediola A Badie, M.D.

Allergy & Immunology · Denton, TX

NPI number1912907502
StatusActive
Last updated in NPPESApr 29, 2009

Details

NPI
1912907502
Entity type
Individual (NPI-1)
Name
Bediola A Badie
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 26, 2005
Last updated
Apr 29, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207K00000X Allergy & ImmunologyE6962TXYes

Other names

  • Bediola A Badie (Other Name)

Practice location

2617 Scripture St
Suite #101
Denton, TX 76201-2311

Phone 940-382-4142 · Fax 940-382-7620

Mailing address

2617 Scripture St
Suite #101
Denton, TX 76201-2311

Phone 940-382-4142 · Fax 940-382-7620

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