Organization · Type 2 NPI
Peter A Bidwell Family Practice
Primary Care Clinic/Center · Jasper, TX
NPI number
1548483589
Active
Practice location
1007 Dickerson Dr
Jasper, TX 75951-5110
Fax (409) 384-7443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | FO386 (TX) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Jasper
About NPI 1548483589
Peter A Bidwell Family Practice's National Provider Identifier is 1548483589, issued on Apr 10, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jasper, TX. The record was last updated on Mar 12, 2008.