Centerwell Senior Primary Care (tx) PA

NPI #1568085108 in Beaumont, Texas

Provider Information

NPI Number: 1568085108
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care (tx) PA
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE (TX) PA
Primary Specialty: Internal Medicine
Enumeration Date: May 18, 2020
Last Updated: Oct 18, 2022

Practice Location

Address: 4886 DOWLEN RD
City: Beaumont
State: Texas
ZIP Code: 77708-4828
Phone: (409) 273-7235

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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