| Rodonaia Family Medicine And Aesthetics | |
|
2955 Harrison St Ste 200 Beaumont TX 77702-1154 | |
| (409) 923-1617 | |
| (409) 923-1618 |
| Full Name | Rodonaia Family Medicine And Aesthetics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2955 Harrison St, Beaumont, Texas |
| Authorized Official Name and Position | Grigoriy T Rodonaia (DOCTOR/OWNER) |
| Authorized Official Contact | 4099231617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodonaia Family Medicine And Aesthetics 2955 Harrison St Ste 200 Beaumont TX 77702-1154 Ph: (409) 923-1617 | Rodonaia Family Medicine And Aesthetics 2955 Harrison St Ste 200 Beaumont TX 77702-1154 Ph: (409) 923-1617 |
| NPI Number | 1497992127 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497992127 | NPI | - | NPPES |
| 0048SA | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M6986 (Texas) | Primary |
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