Folsom Medical Group

NPI 1134237266 - Internal Medicine - 207R00000X

NPI Details
NPI 1134237266
Enumeration Date 08/28/2006
Last Updated 11/10/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BODO BODO
Position PRESIDENT
Phone (409) 832-6545
Fax (409) 832-7494
Practice Location
6510 FOLSOM DR
BEAUMONT TX, 77706-7274, US
Phone (409) 832-6545
Fax (409) 832-7494
Business Location
6510 FOLSOM DR
BEAUMONT TX, 77706-7274, US
Phone (409) 832-6545
Fax (409) 832-7494
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number K9471
Remove 1134237266 NPI Number
 

According to our database, Folsom Medical Group NPI is 1134237266, taxonomy code is 207R00000X and license number is K9471, license state is located at Texas. Folsom Medical Group physically located at 6510 Folsom Dr, Beaumont TX, 77706-7274. NPI Number 1033115704 has the healthcare provider type.

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1134237266 NPI number is provided on an as is basis without warranty of any kind. 1134237266 is maintained by the National Plan & Provider Enumeration System. The contents of Folsom Medical Group are for informational purposes only.