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Individual

DR. FEDERICO VALDERRAMA-BAZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
810 HOSPITAL DR, SUITE 320, BEAUMONT, TX 77701-4600
(409) 839-4757
(409) 839-4294
Mailing address
810 HOSPITAL DR, SUITE 320, BEAUMONT, TX 77701-4600
(409) 839-4757
(409) 839-4294

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3488
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123414807
TX
05
172224101
TX
Enumeration date
08/23/2006
Last updated
09/28/2010
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