Beaumont Primary Healthcare, PLLC
Family Medicine in Beaumont, TX. Organization (NPI-2).
NPI number1245788629
StatusActive
Last updated in NPPESSep 14, 2016
Details
- NPI
- 1245788629
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaumont Primary Healthcare, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2016
- Last updated
- Sep 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M7928 | TX | Yes |
Practice location
3510 Prescott DrBeaumont, TX 77706-6349
Phone 248-802-9174
Mailing address
3510 Prescott DrBeaumont, TX 77706-6349
Authorized official
Marissa Banatwala Curry
Physician
2488029174
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