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NPI Code Detail

MEDICARE: DR. CERITA GADDI D.C.

MEDICARE:  DR. CERITA  GADDI  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor13781TX

General Provider Information

NPI Number : 1023666955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CERITA GADDI D.C.
Provider Business Mailing Address
First Line : 6910 FM 1488 RD STE 3
Second Line :
City : MAGNOLIA
State : TX
Zip : 77354-1540
Country : US
Telephone Number : 281-789-4182
Fax Number : 281-789-7636
Provider Business Practice Location Address
First Line : 6910 FM 1488 RD STE 3
Second Line :
City : MAGNOLIA
State : TX
Zip : 77354-1540
Country : US
Telephone Number : 281-789-4182
Fax Number : 281-789-7636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2019
Last Update Date : 09/04/2019

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Directions to “ DR. CERITA GADDI D.C.” Practice Location

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