Organization
THE MED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ANN ST. JULIEN N.P., M.D. (FAMILY PRACTICE)
(409) 985-8100
Entity
Organization
Contact information
Practice address
3705 9TH AVE, PORT ARTHUR, TX 77642-4423
(409) 985-8100
(409) 985-4778
Mailing address
3705 9TH AVE, PORT ARTHUR, TX 77642-4423
(409) 985-8100
(409) 985-4778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
465574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088281301
—
TX
Enumeration date
05/11/2007
Last updated
09/02/2015
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