| Main St. Medical Center Of Vidor | |
|
1091 N Main St Ste B Vidor TX 77662-4339 | |
| (409) 769-0237 | |
| (409) 769-0254 |
| Full Name | Main St. Medical Center Of Vidor |
|---|---|
| Speciality | Family Medicine |
| Location | 1091 N Main St, Vidor, Texas |
| Authorized Official Name and Position | Duncan G Bowell (DOCTOR) |
| Authorized Official Contact | 4097690237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main St. Medical Center Of Vidor 1091 N Main St Ste B Vidor TX 77662-4339 Ph: (409) 769-0237 | Main St. Medical Center Of Vidor 1091 N Main St Ste B Vidor TX 77662-4339 Ph: (409) 769-0237 |
| NPI Number | 1205036233 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205036233 | NPI | - | NPPES |
| P00298682 | Other | TX | RAILROAD MEDICARE |
| 0017MH | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MDE9547 (Texas) | Primary |
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