| Beaumont House Call Doctor Pllc | |
|
2493 Calder St Beaumont TX 77702-1919 | |
| (409) 223-7855 | |
| Not Available |
| Full Name | Beaumont House Call Doctor Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2493 Calder St, Beaumont, Texas |
| Authorized Official Name and Position | Rosemary Eseh-logue (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4092237855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont House Call Doctor Pllc 2493 Calder St Beaumont TX 77702-1919 Ph: (409) 223-7855 | Beaumont House Call Doctor Pllc 2493 Calder St Beaumont TX 77702-1919 Ph: (409) 223-7855 |
| NPI Number | 1265180269 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 0042692063 |
|---|---|
| Medicare Enrollment ID | O20220808000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265180269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Rosemary Eseh Logue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013237296 PECOS PAC ID: 8426290032 Enrollment ID: I20130812000307 |
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