Individual
JAIRO L BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4414 NORTH FWY, HOUSTON, TX 77022-3654
(888) 663-6331
(415) 252-7176
Mailing address
301 JENNY GEORGE LN, STE A, SWEETWATER, TX 79556-7145
(325) 235-0770
(325) 235-0771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K2848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00621F
BCBS
TX
05
—
046361403
—
TX
05
—
046361405
—
TX
05
—
046361406
—
TX
Enumeration date
09/30/2005
Last updated
04/17/2025
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