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Organization
JOHN K BADLISSI MD PA
Active
Organization
JOHN K BADLISSI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K BADLISSI MD (PRESIDENT)
(409) 722-1197
Entity
Organization
Contact information
Practice address
2400 HIGHWAY 365, SUITE 205, NEDERLAND, TX 77627-6249
(409) 722-1197
(409) 722-1923
Mailing address
2400 HIGHWAY 365, SUITE 205, NEDERLAND, TX 77627-6249
(409) 722-1197
(409) 722-1923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
TX
Other
Enumeration date
08/27/2008
Last updated
07/25/2012
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