Peter a Bidwell Family Practice

NPI #1548483589 in Jasper, Texas

Provider Information

NPI Number: 1548483589
Entity Type: Organization
Organization Name: Peter a Bidwell Family Practice
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Apr 10, 2007
Last Updated: Mar 12, 2008

Practice Location

Address: 1007 DICKERSON DR
City: Jasper
State: Texas
ZIP Code: 75951-5110
Phone: (409) 384-3421

Authorized Official

Name: DR. PETER A BIDWELL, MD
Title: OWNER
Phone: (409) 384-3421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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