Organization
MEDICAL UNITED FOUNDATION, INC
Active
Other names
Texas Center for Health
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILSON (DIRECTOR)
(409) 673-4139
Entity
Organization
Contact information
Practice address
3610 STAGG DR, BEAUMONT, TX 77701-3713
(409) 673-4139
(409) 291-8010
Mailing address
PO BOX 7072, BEAUMONT, TX 77726-7072
(409) 673-4139
(409) 291-8010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421186401
—
TX
Enumeration date
12/26/2020
Last updated
05/10/2021
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