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1881898294
ANTONIO JARDIEL VILLASAN
BEAUMONT, TX
NPI
1881898294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K1121)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- ANTONIO JARDIEL VILLASAN MD
BEAUMONT OUTPATIENT CLINIC 3420 VETERANS CIRCLE
BEAUMONT, TX 77707
Phone number: 409-981-8550
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Mailing Address
-- ANTONIO JARDIEL VILLASAN MD
434 W PINESHADOWS DR
SOUR LAKE, TX 77659-9225
Phone number: 409-753-2292
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