| Vidor Texas Care Llc | |
|
8109 Gladys Ave Ste 102 Beaumont TX 77706-8206 | |
| (409) 422-3045 | |
| Not Available |
| Full Name | Vidor Texas Care Llc |
|---|---|
| Speciality | Case Management |
| Location | 8109 Gladys Ave Ste 102, Beaumont, Texas |
| Authorized Official Name and Position | Thomas Travaglio (OWNER) |
| Authorized Official Contact | 4094223045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidor Texas Care Llc 8109 Gladys Ave Ste 102 Beaumont TX 77706-8206 Ph: (409) 422-3045 | Vidor Texas Care Llc 8109 Gladys Ave Ste 102 Beaumont TX 77706-8206 Ph: (409) 422-3045 |
| NPI Number | 1457152902 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457152902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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