Unknown Individual – Pediatrics Physician, NPI 1720085574
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3560, Delaware Street, Beaumont, Jefferson County, Texas, 77706, United States
SUITE 1202
BEAUMONT, TX 777063067
Phone: (409) 899-2305
Fax: (409) 898-1718
Mailing address matches the actual address.
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 77706)
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