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1487739439
IVYY, P.C
BEAUMONT, TX
NPI
1487739439
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Entity Type
Organization
Authorized Contact
VIDA RISTON
CEO
409-838-4472
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: TX 540793)
Enumeration Date
2006-10-26
Last Update Date
2021-05-20
Business Address
IVYY, P.C
2965 HARRISON ST STE 313
BEAUMONT, TX 77702-1113
Phone number: 409-838-4472
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Mailing Address
IVYY, P.C
2965 HARRISON ST STE 313
BEAUMONT, TX 77702-1113
Phone number: 409-838-4472
Copy
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