Dr Jorge Washington Black, MD | |
490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 | |
(409) 212-9988 | |
(409) 212-8449 |
Full Name | Dr Jorge Washington Black |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 490 Ih 10 N Ste 100, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518957471 | NPI | - | NPPES |
1518957471 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101235945 (Virginia) | Secondary |
208000000X | Pediatrics | Q3336 (Texas) | Primary |
Entity Name | Nueces Emergency Medicine Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215314364 PECOS PAC ID: 4284955501 Enrollment ID: O20150611000871 |
Mailing Address | Practice Location Address |
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Dr Jorge Washington Black, MD 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 Ph: (409) 212-9988 | Dr Jorge Washington Black, MD 490 Ih 10 N Ste 100, Beaumont, TX 77702-1819 Ph: (409) 212-9988 |
Dr. Ramona Susan Ataya-dakour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3070 College St Ste 205, Beaumont, TX 77701 Phone: 409-832-1225 Fax: 409-832-0927 | |
Ariel Scott, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3330 Fannin St, Beaumont, TX 77701 Phone: 409-832-3304 | |
Melissa Kay Ghorayeb, LVN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3330 Fannin St, Beaumont, TX 77701 Phone: 409-832-3304 | |
Kelli Brooke Brooks, MSN, NNP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-892-7171 | |
Kamaljit Singh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-550-6777 | |
Dr. Robert B Dundas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4450 Highland Ave, Beaumont, TX 77705 Phone: 409-832-1924 Fax: 713-523-4897 | |
Nathan R Roesler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3127 College St, Beaumont, TX 77701 Phone: 409-899-1433 Fax: 409-981-9086 |