| Fannett Medical Center | |
|
15321 Highway 124 Beaumont TX 77705-9127 | |
| (409) 794-2314 | |
| Not Available |
| Full Name | Fannett Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15321 Highway 124, Beaumont, Texas |
| Authorized Official Name and Position | Rogelio Mendoza (DIRECTOR/OWNER) |
| Authorized Official Contact | 4097942314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fannett Medical Center 3535 Grayson Ln Beaumont TX 77713-4158 Ph: (409) 201-2994 | Fannett Medical Center 15321 Highway 124 Beaumont TX 77705-9127 Ph: (409) 794-2314 |
| NPI Number | 1275928673 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275928673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP127771 (Texas) | Primary |
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