Organization
GOLDEN TRIANGLE INTERNAL MEDICINE PA
Active
Organization
GOLDEN TRIANGLE INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE LEVINE VPMM,CEO,CFO,COO (AUTHORIZED OFFICIAL)
(409) 347-3621
Entity
Organization
Contact information
Practice address
3080 MILAM ST, BEAUMONT, TX 77701-4828
(409) 347-3621
(409) 860-9078
Mailing address
PO BOX 5328, BEAUMONT, TX 77726-5328
(409) 347-3621
(409) 860-9078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
06/24/2024
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