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Individual

MRS. AMBER MARIE THEALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701-4664
(409) 212-1000
(409) 212-1003
Mailing address
9180 WASHINGTON BLVD, BEAUMONT, TX 77707-4521
(409) 543-4431

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
737870
TX

Other

Enumeration date
01/18/2013
Last updated
06/11/2014
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