Organization · Type 2 NPI

Grigoriy Rodonaia MD PA

Primary Care Clinic/Center · Beaumont, TX

NPI number 1497992127 Active

Practice location

2955 Harrison St, Ste 200
Beaumont, TX 77702-1154

Call (409) 923-1617 Map

Fax (409) 923-1618

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XM6986 (TX)

Primary Care Clinic/Center: Definition to come...

10 other providers at this address

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About NPI 1497992127

Grigoriy Rodonaia MD PA's National Provider Identifier is 1497992127, issued on Jan 16, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Beaumont, TX. The record was last updated on Mar 4, 2010.