Organization
CARDINAL COMMUNITY CLINIC
Active
Parent organization
LAMAR UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAMAR UNIVERSITY
Authorized official
DR. CARL SHEPERIS (DEPARTMENT CHAIR)
(409) 880-8978
Entity
Organization
Contact information
Practice address
4400 MLK BOULEVARD, BEAUMONT, TX 77710-0000
(409) 880-7681
(409) 880-2263
Mailing address
4400 MLK BOULEVARD, PO 10034, BEAUMONT, TX 77710-0000
(409) 880-7681
(409) 880-2263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/17/2015
Last updated
03/20/2015
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