Beaumont Dermatology & Family Practice, LLP
Family Medicine in Beaumont, TX. Organization (NPI-2).
NPI number1225133002
StatusActive
Last updated in NPPESDec 12, 2018
Details
- NPI
- 1225133002
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaumont Dermatology & Family Practice, LLP
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Dec 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207N00000X | Dermatology | – | – |
Practice location
3030 North StSuite 430
Beaumont, TX 77702-1433
Phone 409-899-2500 · Fax 409-898-7579
Mailing address
3030 North StSuite 430
Beaumont, TX 77702-1433
Phone 409-899-2500 · Fax 409-898-7579
Authorized official
Sidney A. Marchand
Owner
4098992500
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