# BAY CITY PHYSICAL MEDICINE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700126521
- **Authorized official:** DR. MARIO E BERTONI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (979) 245-1414

## Contact information

- **Practice address:** 1221 AVENUE F, BAY CITY, TX 77414-3413
- **Practice address phone:** (979) 245-1414
- **Practice address fax:** (979) 245-1555
- **Mailing address:** 1221 AVENUE F, BAY CITY, TX 77414-3413
- **Mailing address phone:** (979) 245-1414
- **Mailing address fax:** (979) 245-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E5682 | TX | Yes |

## Other

- **Enumeration date:** 02/15/2013
- **Last updated:** 05/23/2013
