Organization
JAMIE M WALDREP MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE M WALDREP MD (OWNER)
(409) 883-7900
Entity
Organization
Contact information
Practice address
250 STRICKLAND DR, ORANGE, TX 77630-4750
(409) 883-7900
(409) 883-7909
Mailing address
250 STRICKLAND DR, ORANGE, TX 77630-4750
(409) 883-7900
(409) 883-7909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M3107
TX
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182036701
—
TX
Enumeration date
05/03/2006
Last updated
08/01/2022
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