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Organization

TEXAS HEALTH FOUNDATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY A WILSON (PRESIDENT)
(409) 923-0012
Entity
Organization

Contact information

Practice address
3610 STAGG DR, BEAUMONT, TX 77701-3713
(409) 923-0012
Mailing address
PO BOX 7072, BEAUMONT, TX 77726-7072
(409) 923-0012

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
163WL0100X
Lactation Consultant (Registered Nurse)
207V00000X
Obstetrics & Gynecology Physician
Primary
261QH0100X
Health Service Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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