Organization
MOHAMED D VADVA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED DAWOOD VADVA M.D (PRESIDENT)
(409) 722-7700
Entity
Organization
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, SIUTE 204, PORT ARTHUR, TX 77640-2000
(409) 722-7700
(409) 722-7705
Mailing address
2501 JIMMY JOHNSON BLVD, SIUTE 204, PORT ARTHUR, TX 77640-2000
(409) 722-7700
(409) 722-7705
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J5042
TX
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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