MEDICARE: MONT BELVIEU URGENT AND FAMILY CARE LLC

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	207P00000X	Emergency Medicine Physician	R5018	TX
2	207Q00000X	Family Medicine Physician	R5018	TX

General Provider Information

NPI Number	:	1568950442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONT BELVIEU URGENT AND FAMILY CARE LLC

Provider Business Mailing Address
First Line	:	9235 N HIGHWAY 146 STE 2
Second Line	:
City	:	MONT BELVIEU
State	:	TX
Zip	:	77523-9503
Country	:	US
Telephone Number	:	281-385-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	9235 N HIGHWAY 146 STE 2
Second Line	:
City	:	MONT BELVIEU
State	:	TX
Zip	:	77523-9503
Country	:	US
Telephone Number	:	281-385-8111
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	JOAN A WOOD
Credential	:	APRN
Telephone Number	:	281-385-8111

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	04/28/2023

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Directions to “MONT BELVIEU URGENT AND FAMILY CARE LLC ” Practice Location

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