institution
Grigoriy Rodonaia Md Pa
Primary Care Clinic/Center in Beaumont, Texas
NPI 1497992127

Grigoriy Rodonaia Md Pa is a Primary Care Clinic/Center based in Beaumont, TX and is specialized in Primary Care. Grigoriy Rodonaia Md Pa practices in Beaumont, TX. The NPI Number for Grigoriy Rodonaia Md Pa is 1497992127 and holds a License No. M6986 (Texas).

The current practice location address for Grigoriy Rodonaia Md Pa is 2955 Harrison St, Beaumont, TX and can be reached out via phone at 409-923-1617 and via fax at 409-923-1618. You can also correspond with Grigoriy Rodonaia Md Pa through the mailing address at 2955 HARRISON ST, BEAUMONT, TX - 77702-1154 (mailing address contact number: 409-923-1617).

Location: 2955 Harrison St, Beaumont, TX, 77702-1154
institution
Provider Profile Details
NPI Number
1497992127
Provider Name
Grigoriy Rodonaia Md Pa
Credential
Provider Entity Type
Organization
Address
2955 Harrison St, Beaumont, TX, 77702-1154
Phone Number
409-923-1617
Fax Number
409-923-1618
Provider Enumeration Date
01/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0048SA 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
2955 Harrison St
City
State
Zip
77702-1154
Phone Number
409-923-1617
Fax Number
409-923-1618
person
Provider Business Mailing Address Details
Address
2955 Harrison St
City
State
Zip
77702-1154
Phone Number
409-923-1617
Fax Number
409-923-1618
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
M6986 (Texas)
Definition
Definition to come...
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