Provider Demographics
NPI:1639100894
Name:GAJDA, MALGORZATA T (MD)
Entity Type:Individual
Prefix:
First Name:MALGORZATA
Middle Name:T
Last Name:GAJDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 N CALAIS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1796
Mailing Address - Country:US
Mailing Address - Phone:903-957-0050
Mailing Address - Fax:903-957-0057
Practice Address - Street 1:3305 N CALAIS DR STE 300
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1796
Practice Address - Country:US
Practice Address - Phone:903-957-0050
Practice Address - Fax:903-957-0050
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4893208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125291805Medicaid
TX125291806Medicaid