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General NPI Number Information
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NPI Number | 1770141327
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Entity Type | Organization
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Legal Business Name | BEAUMONT URGENT CARE SETX, LLC
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 3650 N. MAJOR DR. SUITE A
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City | BEAUMONT
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State | TX
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Zip | 77713
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Country | US
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Telephone | 409-333-1272
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Fax | 409-333-1278
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Provider Business Mailing Address
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Address Line | PO BOX 7718
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City | BEAUMONT
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State | TX
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Zip | 77726-7718
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Country | US
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Telephone | 409-333-1272
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Fax | 409-333-1278
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Authorized Official
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Title or Position | OWNER
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Name | MR. TRAVIS E. READ
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Credential | APRN-BC
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Telephone | 409-333-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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