John K Badlissi MD PA

NPI #1659528032 in Nederland, Texas

Provider Information

NPI Number
1659528032
Entity Type
Organization
Organization Name
John K Badlissi MD PA
Primary Specialty
Internal Medicine
Enumeration Date
Aug 27, 2008
Last Updated
Jul 25, 2012

Practice Location

Address
2400 HIGHWAY 365
Address 2
SUITE 205
State
Texas
ZIP Code
77627-6249
Phone
(409) 722-1197

Authorized Official

Name
JOHN K BADLISSI, MD
Title
PRESIDENT
Phone
(409) 722-1197

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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