| First Ascent Medical Of East Texas, Pa | |
|
2830 Calder St Beaumont TX 77702-1809 | |
| (409) 455-1071 | |
| (409) 232-0574 |
| Full Name | First Ascent Medical Of East Texas, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2830 Calder St, Beaumont, Texas |
| Authorized Official Name and Position | Martin Joseph Munroe (OWNER) |
| Authorized Official Contact | 4094551071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Ascent Medical Of East Texas, Pa 7950 Silverleaf St Beaumont TX 77707-3637 Ph: (409) 455-1071 | First Ascent Medical Of East Texas, Pa 2830 Calder St Beaumont TX 77702-1809 Ph: (409) 455-1071 |
| NPI Number | 1710233226 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 09/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710233226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7456 (Texas) | Primary |
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