Organization
BEQUILLARD & BEQUILLARD LLC
Active
Other names
Port Aransas Medical
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BEQUILLARD (ADMINISTRATOR)
(361) 749-1930
Entity
Organization
Contact information
Practice address
600 CUT OFF RD STE 14, PORT ARANSAS, TX 78373-4246
(361) 749-1930
(361) 749-1933
Mailing address
600 CUT OFF RD, SUITE 14, PORT ARANSAS, TX 78373-4246
(361) 749-1930
(361) 749-1933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8391
TX
261QP2300X
Primary Care Clinic/Center
207P00000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821670-01
—
TX
Enumeration date
07/30/2008
Last updated
05/08/2024
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