Ivyy, PC
Ivyy, PC is a Primary Care Clinic/Center in Beaumont, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2965 Harrison St Ste 313Beaumont, TX 77702-1113
Phone: (409) 838-4472
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 540793 (TX) |
|---|
Record details
| NPI number | 1487739439 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vida Riston — Ceo · (409) 838-4472 |
| NPI enumerated | October 26, 2006 |
| Last updated in NPPES | May 20, 2021 |
| Certification date | January 12, 2021 |
| Mailing address | 2965 Harrison St Ste 313, Beaumont, TX 77702-1113 |
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Glen G Guillet MD, PA
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-
Grigoriy Rodonaia MD PA
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