Full Name | |
---|---|
Speciality | Family Medicine |
Location | 561 State Street, Jasper, Texas |
Authorized Official Name and Position | Qamar U Arfeen (OWNER) |
Authorized Official Contact | 4098132332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3406 College Street Beaumont TX 77701 Ph: (409) 813-2332 | 561 State Street Jasper TX 75951 Ph: (409) 384-8990 |
NPI Number | 1639216336 |
---|---|
Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639216336 | NPI | - | NPPES |
8B3070 | Other | TX | GROUP BCBS |
133131608 | Other | MEDICAID EPSDT | |
160510701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |