Individual
JONATHAN BEAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5918 BELCREST ST, HOUSTON, TX 77033-1328
(832) 985-6038
Mailing address
5918 BELCREST ST, HOUSTON, TX 77033-1328
(832) 985-6038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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