MEDICARE: EBONY BEAUDOIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	M2203	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8U5760	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124053095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBONY BEAUDOIN MD

Provider Business Mailing Address
First Line	:	PO BOX 201088
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77216-1088
Country	:	US
Telephone Number	:	713-500-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST
Second Line	:	SUITE 500
City	:	HOUSTON
State	:	TX
Zip	:	77030-3000
Country	:	US
Telephone Number	:	832-325-7111
Fax Number	:	713-512-2227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	05/04/2026

Similar Medicare Providers

1669718391 — AMERICAN HEALTH INC
Practice Location Address:

LOTE 18 METRO OFFICE PARK , 3RD FLOOR SUITE 3000 AMERICAN HEALTH MEDICARE BUILDING
GUAYNABO, PR
00968

Practice Phone: 787-620-1919
Practice Fax: 787-620-0570

1255089827 — LAURA MOTARD
Practice Location Address:

6410 FANNIN ST
HOUSTON, TX
77030-3000

Practice Phone: 832-325-7080
Practice Fax:

1477571941 — CHARLES D ERICSSON M.D.
Practice Location Address:

6410 FANNIN ST , 604
HOUSTON, TX
77030-3000

Practice Phone: 832-325-7070
Practice Fax:

1457379687 — BEN J BARNETT M.D.
Practice Location Address:

6410 FANNIN ST , 604
HOUSTON, TX
77030-3000

Practice Phone: 832-325-7070
Practice Fax:

1497758130 — RAYMOND A. MARTIN M.D.
Practice Location Address:

6410 FANNIN ST , STE 1014
HOUSTON, TX
77030-3000

Practice Phone: 832-235-7080
Practice Fax: 713-512-2239

1013912690 — DR. MICHAEL S SWEENEY M.D.,
Practice Location Address:

6400 FANNIN ST , STE 3000
HOUSTON, TX
77030-1521

Practice Phone: 713-790-0841
Practice Fax: 713-790-1350

Directions to “ EBONY BEAUDOIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.