Individual
JASMINE R GADDY
Active
Individual
JASMINE R GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3227
OK
207R00000X
Internal Medicine Physician
M3227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BG9680833
US CONTROLLED SUBSTANCE
—
Enumeration date
07/10/2006
Last updated
07/19/2009
Update your record
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