Individual
MR. SHELBY ODELL CHURCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6450 FOLSOM DR, BEAUMONT FAMILY PRACTICE ASSOCIATES, BEAUMONT, TX 77706-7269
(409) 835-0524
(409) 833-2058
Mailing address
6450 FOLSOM DR, BEAUMONT, TX 77706-7269
(409) 835-0524
(409) 835-0632
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01919
TX
Other
Enumeration date
12/26/2006
Last updated
09/07/2022
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