Individual
DR. JORGE WASHINGTON BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 892-7171
Mailing address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 892-7171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101235945
VA
208000000X
Pediatrics Physician
Primary
Q3336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285016758
—
TX
05
—
1518957471
—
VA
Enumeration date
10/24/2005
Last updated
01/14/2026
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