Organization
BJELLAND CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAL SAMUELSON DUVALL MD (CEO)
(210) 602-5578
Entity
Organization
Contact information
Practice address
41922 N MILL DR, MAGNOLIA, TX 77354-1850
(210) 602-5578
Mailing address
41922 N MILL DR, MAGNOLIA, TX 77354-1850
(210) 602-5578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q0169
TX
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
N8628
TX
208VP0000X
Pain Medicine Physician
Q0169
TX
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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