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General NPI Number Information
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NPI Number | 1841525235
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Entity Type | Organization
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Legal Business Name | DOCTORS EXPRESS OF THE BEAUMONT AREA PA
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 3195 DOWLEN RD STE 105
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City | BEAUMONT
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State | TX
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Zip | 77706
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Country | US
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Telephone | 409-860-1888
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Fax | 409-860-4668
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Provider Business Mailing Address
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Address Line | 7322 SOUTHWEST FWY STE 620
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City | HOUSTON
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State | TX
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Zip | 77074-2142
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Country | US
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Telephone | 713-636-9927
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Fax | 888-588-4056
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | ANISHA MOHAMMAD
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Credential |
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Telephone | 713-636-9927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | M6173
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License Number State | TX
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