NPI 1225133002 · live from the CMS NPI Registry
Beaumont Dermatology & Family Practice, Llp
Family Medicine in Beaumont, TX. National Provider Identifier 1225133002, active.
NPI record
| NPI | 1225133002 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3030 North St, Suite 430, Beaumont, TX 77702 |
| Practice phone | 409-899-2500 |
| Enumerated | September 14, 2006 |
| Last updated | December 12, 2018 |
| Authorized official | Sidney Marchand, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.