Grigoriy Rodonaia Md Pa

NPI 1497992127 - Clinic/Center - 261QP2300X

NPI Details
NPI 1497992127
Enumeration Date 01/16/2009
Last Updated 03/04/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GRIGORIY T GRIGORIY
Position DOCTOR/OWNER
Phone (409) 923-1617
Fax (409) 923-1618
Practice Location
2955 HARRISON ST
STE 200
BEAUMONT TX, 77702-1154, US
Phone (409) 923-1617
Fax (409) 923-1618
Business Location
2955 HARRISON ST
STE 200
BEAUMONT TX, 77702-1154, US
Phone (409) 923-1617
Fax (409) 923-1618
Toxanomy
Taxonomy Code 261QP2300X
License State Texas
License Number M6986
Remove 1497992127 NPI Number
 

According to our database, Grigoriy Rodonaia Md Pa NPI is 1497992127, taxonomy code is 261QP2300X and license number is M6986, license state is located at Texas. Grigoriy Rodonaia Md Pa physically located at 2955 Harrison St, Beaumont TX, 77702-1154. NPI Number 1033115704 has the healthcare provider type.

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1497992127 NPI number is provided on an as is basis without warranty of any kind. 1497992127 is maintained by the National Plan & Provider Enumeration System. The contents of Grigoriy Rodonaia Md Pa are for informational purposes only.