# THE MED CLINIC

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

## Provider details

- **NPI number:** 1245445568
- **Authorized official:** MRS. BEVERLY ANN ST. JULIEN N.P., M.D. (FAMILY PRACTICE)
- **Authorized official phone:** (409) 985-8100

## Contact information

- **Practice address:** 3705 9TH AVE, PORT ARTHUR, TX 77642-4423
- **Practice address phone:** (409) 985-8100
- **Practice address fax:** (409) 985-4778
- **Mailing address:** 3705 9TH AVE, PORT ARTHUR, TX 77642-4423
- **Mailing address phone:** (409) 985-8100
- **Mailing address fax:** (409) 985-4778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 465574 | TX | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 09/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 088281301 | — | TX |