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Peter A Bidwell Family Practice
Primary Care Clinic/Center in Jasper, Texas
NPI 1548483589

Peter A Bidwell Family Practice is a Primary Care Clinic/Center based in Jasper, TX and is specialized in Primary Care. Peter A Bidwell Family Practice practices in Jasper, TX. The NPI Number for Peter A Bidwell Family Practice is 1548483589 and holds a License No. FO386 (Texas).

The current practice location address for Peter A Bidwell Family Practice is 1007 Dickerson Dr, Jasper, TX and can be reached out via phone at 409-384-3421 and via fax at 409-384-7443.

Location: 1007 Dickerson Dr, Jasper, TX, 75951-5110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548483589
Provider Name
Peter A Bidwell Family Practice
Credential
Provider Entity Type
Organization
Address
1007 Dickerson Dr, Jasper, TX, 75951-5110
Phone Number
409-384-3421
Fax Number
409-384-7443
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0046QP 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1007 Dickerson Dr
City
Jasper
State
Texas
Zip
75951-5110
Phone Number
409-384-3421
Fax Number
409-384-7443
person
Provider Business Mailing Address Details
Address
1007 Dickerson Dr
City
Jasper
State
Texas
Zip
75951-5110
Phone Number
409-384-3421
Fax Number
409-384-7443
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
FO386 (Texas)
Definition
Definition to come...
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