Unknown Individual – Family Medicine Physician, NPI 1194728428
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2929 CALDER ST
SUITE 100
BEAUMONT, TX 777021845
Phone: (409) 833-9797
Fax: (409) 839-3174
Type: Mailing
Dowlen Road, Beaumont, Jefferson County, Texas, 77708, United States
BEAUMONT, TX 777062525
Phone: (409) 833-9797
Fax: (409) 839-3174
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77702)
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