Individual
MR. JASON EDWARD BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2900 NORTH ST, STE. 312, BEAUMONT, TX 77702-1512
(409) 899-8501
(409) 899-8510
Mailing address
2900 NORTH ST, STE. 312, BEAUMONT, TX 77702-1512
(409) 899-8501
(409) 899-8510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
616672
TX
2086S0127X
Trauma Surgery Physician
616672
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP112045
TX
Other
Enumeration date
12/20/2006
Last updated
05/26/2022
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