| Fannett Medical Center | |
|
15321 Highway 124 Beaumont TX 77705-9127 | |
| (409) 794-2314 | |
| (409) 794-1348 |
| Full Name | Fannett Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 15321 Highway 124, Beaumont, Texas |
| Authorized Official Name and Position | Rogelio Dungo Mendoza (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4097942314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fannett Medical Center 15321 Highway 124 Beaumont TX 77705-9127 Ph: (409) 794-2314 | Fannett Medical Center 15321 Highway 124 Beaumont TX 77705-9127 Ph: (409) 794-2314 |
| NPI Number | 1487719670 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487719670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F2352 (Texas) | Primary |
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