Organization
EMVIDER MEDICAL PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVIDHIZAR JR. MD (MANAGER)
(936) 661-1556
Entity
Organization
Contact information
Practice address
3131 UNIVERSITY DR E, BRYAN, TX 77802-3473
(979) 731-3180
Mailing address
8806 GREEN BRANCH LOOP, BRYAN, TX 77808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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