Individual
NICHOLAS BENJAMIN BEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1328 60TH ST, PORT ARTHUR, TX 77640-2166
(409) 736-9213
Mailing address
1328 60TH ST, PORT ARTHUR, TX 77640-2166
(409) 736-9213
(409) 460-5542
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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