Individual
VIJAY S KUSNOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3570 COLLEGE, SUITE 200, BEAUMONT, TX 77701-4679
(409) 839-3118
(409) 654-6922
Mailing address
2929 CALDER, SUITE 100, BEAUMONT, TX 77702-1841
(409) 833-9797
(409) 654-6886
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
F5263
TX
208000000X
Pediatrics Physician
F5263
TX
2080P0202X
Pediatric Cardiology Physician
Primary
F5263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137824212
—
TX
01
—
8BZ707
BCBS TEXAS
TX
Enumeration date
06/24/2006
Last updated
09/18/2018
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