DR. CANDACE NICOLE GAMBLE (NPI# 1922354166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922354166 |
| Entity Type | Individual |
| Full Name | DR. CANDACE NICOLE GAMBLE |
| Credential | M.D. |
| Practice Address |
1300 W Lancaster Ave Ste 204 Fort Worth TX 76102-3410 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828852170 |
| Practice Fax Number | 8173358277 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Q3676 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 345577611 | 05 |
| Street Address |
1300 W LANCASTER AVE STE 204 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281318 | Lesley M Drummond-borg | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2005-11-02 |
| 1619508330 | Melinda Robison | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3499 | 2020-01-31 |
| 1710421474 | Kathryn Fruit | Dietitian, Registered | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2016-12-14 |
| 1205219961 | Joshua Jessel | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2015-06-30 |
| 1053729525 | Katherine Schaars | Audiologist | 1300 W Lancaster Ave, Ste 106, Fort Worth, TX 76102-3410 | 2014-07-29 |
| 1720420722 | Jayme Stiller | Nurse Practitioner | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2013-07-19 |
| 1710246343 | Carla Michelle Smith | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2012-05-16 |
| 1962709410 | Einar Ingvarsson | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2011-02-18 |
| 1275838088 | Tina Grace Barbaro Dieber | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2011-01-26 |
| 1740597095 | Rachel Kramer | Specialist | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962602904 | Zohra Shad | Medical Genetics | 750 8th Ave Ste 200, Fort Worth, TX 76104-2500 | 2007-07-18 |
| 1184651077 | Joanne Nguyen | Medical Genetics | 1300 W Lancaster Ave Ste 204, Fort Worth, TX 76102-3490 | 2006-06-27 |
| 1841281318 | Lesley M Drummond-borg | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2005-11-02 |
| 1265826143 | Diana Carrasco | Medical Genetics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2015-03-27 |
| 1780029504 | Peter Jospeh Leahy | Medical Genetics | 750 8th Ave Ste 200, Fort Worth, TX 76104-2500 | 2013-05-07 |
| 1457648917 | Alexandra Garza Flores | Medical Genetics | 1300 W Lancaster Ave Ste 204, Fort Worth, TX 76102-3490 | 2011-07-06 |
| 1275838088 | Tina Grace Barbaro Dieber | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2011-01-26 |
| 1912918111 | Mary K Kukolich | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640576 | Joseph Leonard Goldstein | Medical Genetics | 5323 Harry Hines Blvd Frnt, Dallas, TX 75390-7201 | 2018-12-17 |
| 1720335045 | Claudia Rocio Soler Alfonso | Medical Genetics | 6701 Fannin St Ste D1560, Houston, TX 77030-2608 | 2012-08-06 |
| 1104118918 | James E Butler | Medical Genetics | 5931 Crosslake Pkwy, Waco, TX 76712-6986 | 2011-05-11 |
| 1497054993 | April Dione Adams | Medical Genetics | 6651 Main St Ste 1020, Houston, TX 77030-2351 | 2011-03-23 |
| 1558521013 | David Felipe Rodriguez | Medical Genetics | 6431 Fannin Street, Msb 3.144, Houston, TX 77030-2359 | 2008-06-09 |
| 1720298979 | Vincent R Macias, Md Pa Clinical Genetics | Medical Genetics | 725 E Esperanza Ave, Suite A, Mcallen, TX 78501-1402 | 2007-05-23 |
| 1356493472 | Verna Lois Morris Rose | Medical Genetics | 1524 Leander Road, Georgetown, TX 78628 | 2007-01-17 |
| 1093881161 | Richard Martin Roberts | Medical Genetics | 6610 Belvoir Ave, Corpus Christi, TX 78414-3949 | 2006-11-28 |
| 1982795316 | Southwest Genetics, P.a. | Medical Genetics | 7614 Louis Pasteur Dr, Suite 310, San Antonio, TX 78229-4036 | 2006-09-28 |
| 1568574267 | Gabriel S Khodr | Medical Genetics | 7614 Louis Pasteur, #310 Southwest Genetics Pa, San Antonio, TX 78229 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
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| 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.