Organization · NPI-2

Beaumont House Call Doctor PLLC

Clinic/Center, Urgent Care · Beaumont, TX

NPI number1265180269
StatusActive
Last updated in NPPESMay 16, 2024

Details

NPI
1265180269
Entity type
Organization (NPI-2)
Legal business name
Beaumont House Call Doctor PLLC
Organization subpart
No
Enumeration date
Mar 17, 2022
Certification date
May 16, 2024
Last updated
May 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes
261Q00000X Clinic/Center––

Other names

  • Beaumont House Call Doctor PLLC (Doing Business As)

Practice location

2493 Calder St
Beaumont, TX 77702-1919

Phone 409-223-7855

Mailing address

2493 Calder St
Beaumont, TX 77702-1919

Phone 409-223-7855

Authorized official

Rosemary Eseh-Logue
Medical Director
4092237855

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