| Joseph A Oommen Md Pllc | |
|
3560 Delaware St Ste 1104 Beaumont TX 77706-3000 | |
| (409) 347-8870 | |
| Not Available |
| Full Name | Joseph A Oommen Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3560 Delaware St Ste 1104, Beaumont, Texas |
| Authorized Official Name and Position | Joseph Anthony Oommen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4093478870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Oommen Md Pllc 3560 Delaware St Ste 1104 Beaumont TX 77706-3000 Ph: (409) 347-8870 | Joseph A Oommen Md Pllc 3560 Delaware St Ste 1104 Beaumont TX 77706-3000 Ph: (409) 347-8870 |
| NPI Number | 1568755544 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Medicare PECOS PAC ID | 1052581279 |
|---|---|
| Medicare Enrollment ID | O20110826000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568755544 | NPI | - | NPPES |
| Provider Name | Joseph A Oommen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770518516 PECOS PAC ID: 3274568712 Enrollment ID: I20070123000616 |
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