| Susan K Craig M D P A | |
|
3070 College Street Suite 120 Beaumont TX 77701-4688 | |
| (409) 835-2300 | |
| (409) 835-2375 |
| Full Name | Susan K Craig M D P A |
|---|---|
| Speciality | Family Medicine |
| Location | 3070 College Street, Beaumont, Texas |
| Authorized Official Name and Position | Susan K Craig (OWNER) |
| Authorized Official Contact | 4098352300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan K Craig M D P A 3070 College Street Suite 120 Beaumont TX 77701-4688 Ph: (409) 835-2300 | Susan K Craig M D P A 3070 College Street Suite 120 Beaumont TX 77701-4688 Ph: (409) 835-2300 |
| NPI Number | 1811941040 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811941040 | NPI | - | NPPES |
| 213984201 | Medicaid | TX | |
| 0002QN | Other | TX | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2884 (Texas) | Primary |
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