Provider Demographics
NPI:1760575427
Name:MALGORZATA T. GAJDA, M.D., F.A.A.P., P.A.
Entity Type:Organization
Organization Name:MALGORZATA T. GAJDA, M.D., F.A.A.P., P.A.
Other - Org Name:HILLTOP PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, HILLTOP PEDIATRICS
Authorized Official - Prefix:DR
Authorized Official - First Name:KRZYSZTOF
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:GAJDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-957-0050
Mailing Address - Street 1:3305 N. CALAIS STREET, 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 STREET, 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4893208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181303202Medicaid
TX1639100894OtherINDIVIDUAL NPI
TX181303201Medicaid
TX181303201Medicaid