Provider Demographics
NPI:1770906547
Name:GUDZA, GAIL
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:GUDZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 HUNTERS GLN
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4375
Mailing Address - Country:US
Mailing Address - Phone:469-235-7900
Mailing Address - Fax:
Practice Address - Street 1:836 HUNTERS GLN
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4375
Practice Address - Country:US
Practice Address - Phone:469-235-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide