Organization · NPI-2

Care For PA

Family Medicine · Beaumont, TX

NPI number1619463536
StatusActive
Last updated in NPPESJul 9, 2018

Details

NPI
1619463536
Entity type
Organization (NPI-2)
Legal business name
Care For PA
Organization subpart
No
Enumeration date
Jul 3, 2018
Last updated
Jul 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

324 N 23rd St
Beaumont, TX 77707

Phone 409-839-4600

Mailing address

324 N 23rd St
Beaumont, TX 77707-2241

Phone 409-839-4600

Authorized official

Jessica R Evans
Credentialing Personal
2819305182

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