JAXTER PANIADIMA

CORPUS CHRISTI, TX
NPI1144050873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10090296)
Enumeration Date2024-08-06
Last Update Date2024-08-06
Business Address
Dr. JAXTER PANIADIMA MD.
3533 S ALAMEDA ST
CORPUS CHRISTI, TX 78411-1721
Phone number: 361-694-5465
Mailing Address
Dr. JAXTER PANIADIMA MD.
3533 S ALAMEDA ST
CORPUS CHRISTI, TX 78411-1721
Phone number: 361-694-5465
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