| Diagnostic & Internal Medicine Clinic Pa | |
|
2929 Calder Street Suite 308 Beaumont TX 77702 | |
| (409) 833-2929 | |
| (409) 839-8355 |
| Full Name | Diagnostic & Internal Medicine Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2929 Calder Street, Beaumont, Texas |
| Authorized Official Name and Position | George V Zuzukin (PRESIDENT OWNER) |
| Authorized Official Contact | 4098332929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic & Internal Medicine Clinic Pa 2929 Calder Street Suite 308 Beaumont TX 77702 Ph: (409) 833-2929 | Diagnostic & Internal Medicine Clinic Pa 2929 Calder Street Suite 308 Beaumont TX 77702 Ph: (409) 833-2929 |
| NPI Number | 1992879068 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992879068 | NPI | - | NPPES |
| 8J3606 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 69255 (Texas) | Primary |
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