Individual
BLAIR BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1127983
TX
363LF0000X
Family Nurse Practitioner
Primary
AP1127983
TX
Other
Enumeration date
03/28/2022
Last updated
08/25/2023
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