Kevin R Waddell MD PA

NPI #1639251051 in Beaumont, Texas

Provider Information

NPI Number: 1639251051
Entity Type: Organization
Organization Name: Kevin R Waddell MD PA
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Oct 19, 2006
Last Updated: Sep 26, 2014

Practice Location

Address: 740 HOSPITAL DR
Address 2: SUITE 250
City: Beaumont
State: Texas
ZIP Code: 77701-4664
Phone: (409) 212-1000

Authorized Official

Name: DR. KEVIN R. WADDELL, M.D.
Title: PROVIDER
Phone: (409) 212-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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