Main St. Medical Center Of Vidor in Vidor - Family Medicine

Main St. Medical Center Of Vidor - NPI 1205036233

Main St. Medical Center Of Vidor is a Family Medicine in Vidor, Texas. Main St. Medical Center Of Vidor practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Main St. Medical Center Of Vidor is 1205036233. The last update date is 2007-07-18.

Main St. Medical Center Of Vidor's current location address is 1091 N Main St, Vidor, Texas. You can contact this provider via phone number 4097690237 and fax number 4097690254. The mailing address for Main St. Medical Center Of Vidor is 1091 N Main St, Vidor, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Main St. Medical Center Of Vidor
Address 1091 N Main St, Vidor, Texas
Phone Number 4097690237
Fax Number 4097690254
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Bowell G Duncan
Credentials M.D.
Telephone Number 4097690237

NPI Number Detail

NPI Number 1205036233
Provider Enumeration Date 2007-07-18
Last Updated Date 2007-07-18

Provider Mailing Address Detail

Address 1091 N Main St
City Vidor
State Texas (TX)
Post Code 776624339
Phone Number 4097690237
Fax Number 4097690254

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MDE9547
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00298682 TX RAILROAD MEDICARE
0017MH TX BCBS

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FAQs about Main St. Medical Center Of Vidor

What is the Main St. Medical Center Of Vidor's 1205036233?

The Main St. Medical Center Of Vidor's NPI (National Provider Identifier) Number is 1205036233. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Main St. Medical Center Of Vidor is located?

The Main St. Medical Center Of Vidor is situated at the following address: 1091 N Main St, Vidor, TX, 776624339.

What is the Main St. Medical Center Of Vidor's area of specialization and corresponding taxonomy classification?

The Main St. Medical Center Of Vidor's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

When was the Main St. Medical Center Of Vidor's 1205036233 issued?

The Main St. Medical Center Of Vidor's 1205036233 was issued on 2007-07-18.

As of what date was the information pertaining to Main St. Medical Center Of Vidor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Main St. Medical Center Of Vidor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-18.

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