Organization
BEAUMONT FAMILY PRACTICE ASSOCIATES PA
Active
Parent organization
BEAUMONT FAMILY PRACTICE ASSOC. PA.
Other names
Southeast Texas Occupational Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAUMONT FAMILY PRACTICE ASSOC. PA.
Authorized official
DR. JAY C PROCTOR III M.D. (PRESIDENT/OWNER)
(409) 835-0524
Entity
Organization
Contact information
Practice address
6450 FOLSOM, BEAUMONT, TX 77706
(409) 835-0524
(409) 833-2058
Mailing address
6450 FOLSOM, BEAUMONT, TX 77706
(409) 835-0524
(409) 833-2058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F1914
TX
Other
Enumeration date
09/15/2006
Last updated
06/29/2016
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