MR. SEYRA GADAGBUI


Address: 2507 Medical Row, Suite 101, Grand Prairie, TX 75051-1070
Phone: 2148871626

MR. SEYRA GADAGBUI (NPI# 1780117994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780117994
Entity Type Individual
Full Name MR. SEYRA GADAGBUI
Practice Address 2507 Medical Row
Suite 101
Grand Prairie
TX 75051-1070
Mailing Address 2057 Medical Row
Suite 101
Grand Prairie
TX 75051
Practice Telephone 2148871626
Practice Fax Number 2145948797
Mailing Telephone 2148871626
Mailing Fax Number 2145948797
Enumeration Date 2017-04-05
Last Update Date 2017-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 2507 MEDICAL ROW
SUITE 101
City GRAND PRAIRIE
State TX
Zip Code 75051-1070

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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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Competitor

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City GRAND PRAIRIE
Zip Code 75051

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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