Main St. Medical Center of Vidor

NPI #1205036233 in Vidor, Texas

Provider Information

NPI Number: 1205036233
Entity Type: Organization
Organization Name: Main St. Medical Center of Vidor
Primary Specialty: Family Medicine
Enumeration Date: Jul 18, 2007
Last Updated: Jul 18, 2007

Practice Location

Address: 1091 N MAIN ST
Address 2: STE B
City: Vidor
State: Texas
ZIP Code: 77662-4339
Phone: (409) 769-0237

Authorized Official

Name: DUNCAN G BOWELL, M.D.
Title: DOCTOR
Phone: (409) 769-0237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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