| Federico Valderrama-bazan, M.d.,p.a. | |
|
810 Hospital Dr Suite 320 Beaumont TX 77701-4600 | |
| (409) 839-4757 | |
| (409) 839-4294 |
| Full Name | Federico Valderrama-bazan, M.d.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 810 Hospital Dr, Beaumont, Texas |
| Authorized Official Name and Position | Federico Valderrama-bazan (PRESIDENT) |
| Authorized Official Contact | 4098394757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Federico Valderrama-bazan, M.d.,p.a. 810 Hospital Dr Suite 320 Beaumont TX 77701-4600 Ph: (409) 839-4757 | Federico Valderrama-bazan, M.d.,p.a. 810 Hospital Dr Suite 320 Beaumont TX 77701-4600 Ph: (409) 839-4757 |
| NPI Number | 1366517088 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 09/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366517088 | NPI | - | NPPES |
| 123414807 | Medicaid | TX | |
| 172224101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E3488 (Texas) | Primary |
Shama P Quraishi Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2342 Dowlen Rd Ste 102, Beaumont, TX 77706 Phone: 409-832-7195 Fax: 409-832-8199 | |
Rhg Of Texas Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2010 Dowlen Rd, Beaumont, TX 77706 Phone: 615-672-7122 | |
Preventive Medicine Of Southeast Texas, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5875 N Major Dr, Beaumont, TX 77713 Phone: 409-892-2262 Fax: 409-899-8475 | |
Kandaswamy Jayaraj Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3030 North St, #310, Beaumont, TX 77702 Phone: 409-892-2111 Fax: 409-892-2173 | |
Daro Health And Wellness Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6442 Concord Rd, Beaumont, TX 77708 Phone: 409-757-8282 Fax: 409-757-8439 | |
Legacy Community Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Harrison St Ste 320, Beaumont, TX 77702 Phone: 409-899-1360 Fax: 713-523-4897 | |
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