Federico Valderrama-Bazan, M.D.,P.A.
LBN: Federico Valderrama-Bazan, M.D.,P.A.
Federico Valderrama-Bazan, M.D.,P.A. is an health care organization with primary practice located at 810 Hospital Dr Suite 320, Beaumont TX 77701-4600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Federico Valderrama-Bazan, M.D.,P.A. can be contacted via phone (409) 839-4757, or through Valderrama-Bazan, Federico via phone (409) 839-4757.
Contact Information
Primary practice address
810 Hospital Dr Suite 320
Beaumont TX 77701-4600
Phone: (409) 839-4757
Fax: (409) 839-4294
Website:
Authorized official contact:
Name: Valderrama-Bazan, Federico Doctor of Medicine (MD)
Phone: (409) 839-4757
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3488 | Texas |
Profile Details
| NPI number | 1366517088 |
|---|---|
| LBN Legal business name | Federico Valderrama-Bazan, M.D.,P.A. |
| DBA Doing business as | |
| Authorized official | Valderrama-Bazan, Federico Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Sep 24th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366517088 | NPPES |
| Texas | MEDICAID | 123414807 | |
| Texas | MEDICAID | 172224101 |
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