Rodonaia Family Medicine And Aesthetics

LBN: Grigoriy Rodonaia Md Pa
Rodonaia Family Medicine And Aesthetics is an health care organization with primary practice located at 2955 Harrison St Ste 200, Beaumont TX 77702-1154. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Grigoriy Rodonaia Md Pa can be contacted via phone (409) 923-1617, or through Rodonaia, Grigoriy T via phone (409) 923-1617.

Contact Information

Primary practice address
2955 Harrison St Ste 200 Beaumont TX 77702-1154
Phone: (409) 923-1617
Fax: (409) 923-1618
Website:
Map and Directions
Authorized official contact:
Name: Rodonaia, Grigoriy T Doctor of Medicine (MD)
Phone: (409) 923-1617

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X M6986 Texas

Profile Details

NPI number 1497992127
LBN Legal business name Grigoriy Rodonaia Md Pa
DBA Doing business as Rodonaia Family Medicine And Aesthetics
Authorized official Rodonaia, Grigoriy T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2009
Last updated Mar 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497992127 NPPES
Texas Other 0048SA BCBS

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