Organization
VICTOR M. FERMO JR., MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR MENDOZA FERMO JR. M.D. (OWNER)
(409) 727-7979
Entity
Organization
Contact information
Practice address
405 S MEMORIAL FWY, NEDERLAND, TX 77627-7430
(409) 727-7979
(409) 727-5459
Mailing address
405 S MEMORIAL HWY, NEDERLAND, TX 77627-7430
(409) 727-7979
(409) 727-5459
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F2655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J13Q
BLUE CROSS / BLUE SHIELD
TX
Enumeration date
06/06/2007
Last updated
12/04/2007
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