Organization
A1 HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY M LARNETTE FNP-C (OWNER)
(409) 333-1257
Entity
Organization
Contact information
Practice address
2855 EASTEX FWY STE I, BEAUMONT, TX 77706-3065
(409) 333-1242
(409) 333-1257
Mailing address
2855 EASTEX FWY STE I, BEAUMONT, TX 77706-3065
(409) 333-1242
(409) 333-1257
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669829560
NPI
TX
Enumeration date
01/21/2021
Last updated
07/25/2023
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