Organization
CARE FOR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA R EVANS (CREDENTIALING PERSONAL)
(281) 930-5182
Entity
Organization
Contact information
Practice address
324 N 23RD ST, BEAUMONT, TX 77707
(409) 839-4600
Mailing address
324 N 23RD ST, BEAUMONT, TX 77707-2241
(409) 839-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/09/2018
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