Organization
JOHN G PREDDY DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G PREDDY DO (PHYSICIAN/OWNER)
(830) 278-7101
Entity
Organization
Contact information
Practice address
126 W NOPAL, UVALDE, TX 78801-5210
(830) 278-7101
(866) 935-9737
Mailing address
126 W NOPAL, UVALDE, TX 78801-5210
(830) 278-7101
(866) 935-9737
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
J0786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063378601
—
TX
Enumeration date
07/11/2008
Last updated
04/17/2016
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