Individual
MRS. DEIDRE BYNUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
EIS P
Contact information
Practice address
120 HOSPITAL, ANGLETON, TX 77515
(979) 849-2447
(979) 848-8337
Mailing address
120 HOSPITAL DRIVE, ANGLETON, TX 77515
(979) 849-2447
(979) 848-8337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032401
TX
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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