Individual
DR. JEFFREY BRYANT GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1204 S 3RD ST, SUITE 102, MABANK, TX 75147-7679
(903) 887-6882
(903) 887-3868
Mailing address
1204 S 3RD ST, SUITE 102, MABANK, TX 75147-7679
(903) 887-6882
(903) 887-3868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1739377-01
—
TX
01
—
U74487
UPIN
TX
Enumeration date
12/05/2007
Last updated
12/05/2007
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