Gardial, Paul Richard

Gardial, Paul Richard is an individual health care provider with primary practice located at 1408 College Dr , Texarkana TX 75503-3534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardial, Paul Richard can be contacted via phone (903) 794-0515.

Contact Information

Primary practice address
1408 College Dr Texarkana TX 75503-3534
Fax: (903) 793-8000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3062 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7986 Texas

Profile Details

NPI number 1639170194
LBN Legal business name Gardial, Paul Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 16th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639170194 NPPES
Arkansas MEDICAID 146876001
Arkansas Other 8L13577
Arkansas Other 04090020102
Arkansas Other 5M095
Arkansas Other P00720347
Arkansas MEDICAID 195221002

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