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755 S 11th St Ste 235 Beaumont TX 77701-3732 | |
| (409) 951-0217 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 755 S 11th St Ste 235, Beaumont, Texas |
| Authorized Official Name and Position | April M Monroe (OWNER) |
| Authorized Official Contact | 4095047063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
415 Giles St Beaumont TX 77705-5322 Ph: (409) 504-7063 | 755 S 11th St Ste 235 Beaumont TX 77701-3732 Ph: (409) 951-0217 |
| NPI Number | 1891363123 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Medicare PECOS PAC ID | 5294130092 |
|---|---|
| Medicare Enrollment ID | O20210817002154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891363123 | NPI | - | NPPES |
| Provider Name | April M Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306304035 PECOS PAC ID: 4981944931 Enrollment ID: I20190329000214 |
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