Organization
HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
11357 IH 10, SW @ SMITH ROAD, BEAUMONT, TX 77720
(704) 936-5546
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(704) 935-5546
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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