Individual
DR. JEREMY ALAN PADALECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 TERAVISTA XING, GEORGETOWN, TX 78626-7704
(210) 861-9691
Mailing address
1100 TERAVISTA XING, GEORGETOWN, TX 78626-7704
(210) 861-9691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P1801
TX
Other
Enumeration date
05/05/2010
Last updated
09/29/2015
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