Bordages, John Walter
Bordages, John Walter is an sole proprietor health care provider with primary practice located at 6870 Phelan Blvd , Beaumont TX 77706-5970. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bordages, John Walter can be contacted via phone (409) 861-1181.Contact Information
Primary practice address
6870 Phelan Blvd
Beaumont TX 77706-5970
Phone: (409) 861-1181
Fax: (409) 861-1166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25056 | Texas |
Profile Details
| NPI number | 1740380732 |
|---|---|
| LBN Legal business name | Bordages, John Walter |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 18th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740380732 | NPPES |
| Texas | MEDICAID | 1236358 02 |
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