Basic Information
| Provider Information | |||||||||
| NPI: | 1972722064 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CADORE | ||||||||
| FirstName: | JUDITH | ||||||||
| MiddleName: | MARTIN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5080 SPECTRUM DR | ||||||||
| Address2: | STE 1200W | ||||||||
| City: | ADDISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750014648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727207820 | ||||||||
| FaxNumber: | 2147754502 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 E 8TH ST | ||||||||
| Address2: | |||||||||
| City: | DEER PARK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775362753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819308555 | ||||||||
| FaxNumber: | 2819309870 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2007 | ||||||||
| LastUpdateDate: | 11/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | J5553 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.