Individual
DR. JEFFREY RYAN PADALECKI
Active
Individual
DR. JEFFREY RYAN PADALECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
54060
TX
207X00000X
Orthopaedic Surgery Physician
Primary
N3968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303081901
—
TX
05
—
303081902
—
TX
01
—
54060
TRAINING PERMIT
TX
Enumeration date
06/05/2007
Last updated
05/28/2021
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