Organization
THE MED CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY A ST. JULIEN MSN, CFNP (OWNER)
(409) 985-8100
Entity
Organization
Contact information
Practice address
3705 9TH AVE, PORT ARTHUR, TX 77642-4423
(409) 985-8100
(409) 985-4778
Mailing address
3705 9TH AVE, PORT ARTHUR, TX 77642-4423
(409) 985-8100
(409) 985-4778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
465574
TX
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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