is a Medical in Bridgeport, Texas. practices all healthcare services and medical treatments related to Medical. The NPI Number for is 1871544486. The last update date is .
's current location address is 808 Woodrow Wilson Ray Cir, Bridgeport, Texas. You can contact this provider via phone number 9406832297 and fax number 9406832984. The mailing address for is 808 Woodrow Wilson Ray Cir, Bridgeport, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 808 Woodrow Wilson Ray Cir, Bridgeport, Texas |
| Phone Number | 9406832297 |
| Fax Number | 9406832984 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871544486 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 808 Woodrow Wilson Ray Cir |
|---|---|
| City | Bridgeport |
| State | Texas (TX) |
| Post Code | 764262061 |
| Phone Number | 9406832297 |
| Fax Number | 9406832984 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA02552 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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