Individual
DEBORAH GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6938 WALZEM RD, SAN ANTONIO, TX 78239-3641
(210) 969-7400
Mailing address
PO BOX 33351, SAN ANTONIO, TX 78265-3351
(210) 251-6793
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351521
TX
Other
Enumeration date
12/12/2024
Last updated
12/15/2024
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