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Contact Information

JUANITA Y MADISON
500 CANARY LN
DESOTO, TX75115-7110
 Phone: 214-457-4062
 Fax: 469-297-4222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for JUANITA Y MADISON · (Female)

NPI Number 1861828741
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2013
Last updated 09/23/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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