Individual
BLAIR BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 E EDGEWOOD DR, FRIENDSWOOD, TX 77546-3818
(281) 916-1012
Mailing address
PO BOX 58538, WEBSTER, TX 77598-8538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1127983
TX
363LF0000X
Family Nurse Practitioner
Primary
1127983
TX
363LF0000X
Family Nurse Practitioner
Primary
AP1127983
TX
Other
Enumeration date
03/28/2022
Last updated
06/15/2026
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