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NPI Code Detail

MEDICARE: GEORGE TODOROV BACKARDJIEV MD

MEDICARE:   GEORGE TODOROV BACKARDJIEV  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician036-115001IL
2207VX0000XObstetrics Physician036-115001IL
3207V00000XObstetrics & Gynecology Physician036-115001IL
4207VG0400XGynecology PhysicianN4270TX
5207VX0000XObstetrics PhysicianN4270TX
6207V00000XObstetrics & Gynecology PhysicianN4270TX

Other Identifiers

General Provider Information

NPI Number : 1295948594
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE TODOROV BACKARDJIEV MD
Provider Business Mailing Address
First Line : 3141 SABA LN
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-5421
Country : US
Telephone Number : 409-722-9995
Fax Number : 409-539-6095
Provider Business Practice Location Address
First Line : 3141 SABA LN
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-5421
Country : US
Telephone Number : 409-722-9995
Fax Number : 409-539-6095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 12/03/2012

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Directions to “ GEORGE TODOROV BACKARDJIEV MD” Practice Location

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