Organization
JAIRO L BERMUDEZ MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIRO L BERMUDEZ MD (OWNER/PRESIDENT)
(512) 353-1270
Entity
Organization
Contact information
Practice address
1601 REDWOOD RD STE C, SAN MARCOS, TX 78666-1423
(512) 353-1270
Mailing address
1601 REDWOOD RD STE C, SAN MARCOS, TX 78666-1423
(512) 353-1270
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
—
05
—
1842122-01
—
TX
Enumeration date
11/14/2007
Last updated
10/07/2008
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