Organization
LEGACY DUNDAS CLINIC(NO LONGER IN SERVICE)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY CALDWELL (EXECUTIVE DIRECTOR)
(832) 548-5015
Entity
Organization
Contact information
Practice address
810 HOSPITAL DR STE 300, BEAUMONT, TX 77701-4635
(409) 835-9300
(713) 523-4897
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5076
(713) 523-4897
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
12/03/2012
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