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Organization
JAYDAM SERVICES, LLC
Active
Organization
JAYDAM SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE D DOHERTY (ADMINISTRATOR)
(832) 723-2549
Entity
Organization
Contact information
Practice address
6250 WESTPARK DR, 321, HOUSTON, TX 77057-7322
(832) 723-2549
Mailing address
6250 WESTPARK DR, 321, HOUSTON, TX 77057-7322
(832) 723-2549
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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