| Preventive Medicine Of Southeast Texas, Llp | |
|
5875 N Major Dr Beaumont TX 77713-9013 | |
| (409) 892-2262 | |
| (409) 899-8475 |
| Full Name | Preventive Medicine Of Southeast Texas, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 5875 N Major Dr, Beaumont, Texas |
| Authorized Official Name and Position | Howard D. Wilcox (OWNER) |
| Authorized Official Contact | 4098922262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Medicine Of Southeast Texas, Llp 5875 N Major Dr Beaumont TX 77713-9013 Ph: (409) 892-2262 | Preventive Medicine Of Southeast Texas, Llp 5875 N Major Dr Beaumont TX 77713-9013 Ph: (409) 892-2262 |
| NPI Number | 1013928290 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013928290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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