John Walter Bordages in Beaumont - Clinical
John Walter Bordages - NPI 1740380732
John Walter Bordages is a Clinical in Beaumont, Texas. John Walter Bordages practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Walter Bordages is 1740380732. The last update date is 2016-07-18.
John Walter Bordages's current location address is 6870 Phelan Blvd, Beaumont, Texas. You can contact this provider via phone number 4098611181 and fax number 4098611166. The mailing address for John Walter Bordages is 6870 Phelan Blvd, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Walter Bordages |
|---|---|
| Address | 6870 Phelan Blvd, Beaumont, Texas |
| Phone Number | 4098611181 |
| Fax Number | 4098611166 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740380732 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2016-07-18 |
Provider Mailing Address Detail
| Address | 6870 Phelan Blvd |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777065970 |
| Phone Number | 4098611181 |
| Fax Number | 4098611166 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 25056 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1236358 02 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Walter Bordages by the Centers for Medicare & Medicaid Services?
The John Walter Bordages has been issued the NPI (National Provider Identifier) 1740380732 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John Walter Bordages located?
The John Walter Bordages is located at 6870 Phelan Blvd, Beaumont, TX 777065970.
What is John Walter Bordages's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Walter Bordages is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did John Walter Bordages receive its 1740380732 assignment from the Centers for Medicare & Medicaid Services?
The John Walter Bordages was assigned its 1740380732 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to John Walter Bordages, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Walter Bordages, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-07-18.
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