| Riceland Clinic | |
|
85 Ih 10 N Ste 112 Beaumont TX 77707-2560 | |
| (409) 239-5139 | |
| (409) 347-8856 |
| Full Name | Riceland Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 85 Ih 10 N Ste 112, Beaumont, Texas |
| Authorized Official Name and Position | Muhammad Tahir Javed (CEO) |
| Authorized Official Contact | 4098409601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riceland Clinic 538 Broadway Winnie TX 77665-7600 Ph: (409) 296-6000 | Riceland Clinic 85 Ih 10 N Ste 112 Beaumont TX 77707-2560 Ph: (409) 239-5139 |
| NPI Number | 1376937003 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 12/28/2023 |
| Medicare PECOS PAC ID | 3375440894 |
|---|---|
| Medicare Enrollment ID | O20171005000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376937003 | NPI | - | NPPES |
| E7808 | Other | TX | MEDICAL LICENSE |
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