Feldschau & Co, Pllc | |
8400 Anastasia Ave Beaumont TX 77705-9423 | |
(409) 656-0549 | |
(409) 217-4966 |
Full Name | Feldschau & Co, Pllc |
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Speciality | Clinic/Center |
Location | 8400 Anastasia Ave, Beaumont, Texas |
Authorized Official Name and Position | Teri Porter (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 4098821031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Feldschau & Co, Pllc 2501 Jimmy Johnson Blvd Ste 302 Port Arthur TX 77640-2011 Ph: (409) 344-9087 | Feldschau & Co, Pllc 8400 Anastasia Ave Beaumont TX 77705-9423 Ph: (409) 656-0549 |
NPI Number | 1548917990 |
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Provider Enumeration Date | 03/06/2022 |
Last Update Date | 10/03/2022 |
Medicare PECOS PAC ID | 0042697336 |
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Medicare Enrollment ID | O20220505002041 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548917990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | James Shepherd |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700067915 PECOS PAC ID: 0042223430 Enrollment ID: I20120619000177 |
Provider Name | Justin Ryan Feldschau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396198669 PECOS PAC ID: 4587950183 Enrollment ID: I20160908000317 |
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