# FOLSOM MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134237266
- **Authorized official:** BODO BRAUER (OWNER/PROVIDER)
- **Authorized official phone:** (409) 832-6545

## Contact information

- **Practice address:** 6510 FOLSOM DR, BEAUMONT, TX 77706
- **Practice address phone:** (409) 832-6545
- **Practice address fax:** (409) 832-7494
- **Mailing address:** 6510 FOLSOM DR, BEAUMONT, TX 77706-7274
- **Mailing address phone:** (409) 832-6545
- **Mailing address fax:** (409) 832-7494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H3231 | TX | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 583808 | TX | — |
| 363LA2200X | Adult Health Nurse Practitioner | 670528 | TX | — |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 07/02/2018