| Legacy Dundas Clinic(no Longer In Service) | |
|
810 Hospital Dr Ste 300 Beaumont TX 77701-4635 | |
| (409) 835-9300 | |
| (713) 523-4897 |
| Full Name | Legacy Dundas Clinic(no Longer In Service) |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 810 Hospital Dr Ste 300, Beaumont, Texas |
| Authorized Official Name and Position | Katy Caldwell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8325485015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dundas Clinic(no Longer In Service) Po Box 66308 Houston TX 77266-6308 Ph: (832) 548-5076 | Legacy Dundas Clinic(no Longer In Service) 810 Hospital Dr Ste 300 Beaumont TX 77701-4635 Ph: (409) 835-9300 |
| NPI Number | 1467700112 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 12/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467700112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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