institution
Vidor Community Health Clinic Inc
Family Nurse Practitioner in Vidor, Texas
NPI 1487669073

Vidor Community Health Clinic Inc is a Family Nurse Practitioner based in Vidor, TX and is specialized in Family. Vidor Community Health Clinic Inc practices in Vidor, TX. The NPI Number for Vidor Community Health Clinic Inc is 1487669073 and holds a License No. 561872 (Texas).

The current practice location address for Vidor Community Health Clinic Inc is 1290 Highway 12, Vidor, TX and can be reached out via phone at 409-769-7795 and via fax at 409-769-8721.

Location: 1290 Highway 12, Vidor, TX, 77670-2202
institution
Provider Profile Details
NPI Number
1487669073
Provider Name
Vidor Community Health Clinic Inc
Credential
Provider Entity Type
Organization
Address
1290 Highway 12, Vidor, TX, 77670-2202
Phone Number
409-769-7795
Fax Number
409-769-8721
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00037H 01 TX MEDICARE PART B
119735203 05 TX
RU0016 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1290 Highway 12
City
State
Zip
77662-4016
Phone Number
409-769-7795
Fax Number
409-769-8721
person
Provider Business Mailing Address Details
Address
1290 Highway 12
City
State
Zip
77662-4016
Phone Number
409-769-7795
Fax Number
409-769-8721
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
561872 (Texas)
Definition
Definition to come...
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