Aydelott, George A

Aydelott, George A is an individual health care provider with primary practice located at 3560 Delaware St Ste 209 , Beaumont TX 77706-3059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Aydelott, George A can be contacted via phone (409) 899-3682.

Contact Information

Primary practice address
3560 Delaware St Ste 209 Beaumont TX 77706-3059
Phone: (409) 899-3682
Fax: (409) 898-0834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J0432 Texas

Profile Details

NPI number 1841296019
LBN Legal business name Aydelott, George A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841296019 NPPES
Texas Other P00152144 RAILROAD-MEDICARE
Texas MEDICAID 045187404 RAILROAD-MEDICARE

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