Kevin R Waddell Md Pa

LBN: Kevin R Waddell Md Pa
Kevin R Waddell Md Pa is an health care organization with primary practice located at 740 Hospital Dr Suite 250, Beaumont TX 77701-4664. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Kevin R Waddell Md Pa can be contacted via phone (409) 212-1000, or through Waddell, Kevin R. via phone (409) 212-1000.

Contact Information

Primary practice address
740 Hospital Dr Suite 250 Beaumont TX 77701-4664
Phone: (409) 212-1000
Fax: (409) 212-1003
Website:
Map and Directions
Authorized official contact:
Name: Waddell, Kevin R. Doctor of Medicine (MD)
Phone: (409) 212-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M4976 Texas

Profile Details

NPI number 1639251051
LBN Legal business name Kevin R Waddell Md Pa
DBA Doing business as
Authorized official Waddell, Kevin R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Sep 26th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639251051 NPPES
Texas MEDICAID 184820201
Texas MEDICAID 184820202

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