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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