Individual
MRS. GINA VANDEVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
810 HOSPITAL DR, STE 115, BEAUMONT, TX 77701-4600
(409) 838-4533
(409) 833-1616
Mailing address
810 HOSPITAL DR, STE 115, BEAUMONT, TX 77701-4600
(409) 838-4533
(409) 833-1616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00363
TX
Other
Enumeration date
08/11/2006
Last updated
04/21/2014
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