NPI 1003609629

Jasmine Marie Gamboa, MD

Practitioner Student in an Organized Health Care Education/Training Program Tyler, TX

Practice location

Address: 11937 US Highway 271, Tyler, TX 75708-3154
Phone: (903) 877-7200

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003609629
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2025
Record last updated: 27 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.