Organization
VIOLETA BADDOUR MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIOLETA BADDOUR STEVENS MD (DIRECTOR)
(830) 569-4077
Entity
Organization
Contact information
Practice address
1850 HICKORY ST, ABILENE, TX 79601-2325
(325) 670-4590
(325) 670-4587
Mailing address
PO BOX 3851, ABILENE, TX 79604-3851
(830) 569-4077
(830) 569-5679
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
K7242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00066X
MEDICARE
—
05
—
1665515
—
TX
01
—
45D1029696
CLIA
TX
Enumeration date
05/28/2006
Last updated
07/12/2012
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