Beaumont Family Practice Associates PA

NPI #1629174891 in Beaumont, Texas

Provider Information

NPI Number: 1629174891
Entity Type: Organization
Organization Name: Beaumont Family Practice Associates PA
Subpart: Yes (part of a larger organization)
Parent Organization: BEAUMONT FAMILY PRACTICE ASSOC. PA.
Primary Specialty: Family Medicine
Enumeration Date: Sep 15, 2006
Last Updated: Jun 29, 2016

Practice Location

Address: 6450 FOLSOM
City: Beaumont
State: Texas
ZIP Code: 77706
Phone: (409) 835-0524

Authorized Official

Name: DR. JAY C PROCTOR III, M.D.
Title: PRESIDENT/OWNER
Phone: (409) 835-0524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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