Organization
E DARYL BICKFORD MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E DARYL BICKFORD M.D. (OWNER)
(367) 573-4331
Entity
Organization
Contact information
Practice address
117 MEDICAL DR STE 1, VICTORIA, TX 77904-3114
(361) 573-4331
(361) 573-5096
Mailing address
117 MEDICAL DR STE 1, VICTORIA, TX 77904-3114
(361) 573-4331
(361) 573-5096
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283102601
—
TX
Enumeration date
05/06/2011
Last updated
07/11/2012
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