Southeast Texas Internal Medicine, Pa in Beaumont - Internal Medicine
Southeast Texas Internal Medicine, Pa - NPI 1730155995
Southeast Texas Internal Medicine, Pa is a Internal Medicine in Beaumont, Texas. Southeast Texas Internal Medicine, Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southeast Texas Internal Medicine, Pa is 1730155995. The last update date is 2010-06-23.
Southeast Texas Internal Medicine, Pa's current location address is Po Box 20477, Beaumont, Texas. You can contact this provider via phone number 4097297030 and fax number 4097297015. The mailing address for Southeast Texas Internal Medicine, Pa is Po Box 20477, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Texas Internal Medicine, Pa |
|---|---|
| Address | Po Box 20477, Beaumont, Texas |
| Phone Number | 4097297030 |
| Fax Number | 4097297015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ATTENDING |
|---|---|
| Authorized Official Name | Gambrah O. Anthony |
| Credentials | MD. FACP |
| Telephone Number | 4097297030 |
NPI Number Detail
| NPI Number | 1730155995 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2010-06-23 |
Provider Mailing Address Detail
| Address | Po Box 20477 |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777200477 |
| Phone Number | 4097297030 |
| Fax Number | 4097297015 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | J9675 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143474801 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southeast Texas Internal Medicine, Pa?
The Southeast Texas Internal Medicine, Pa has been issued the NPI (National Provider Identifier) 1730155995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Southeast Texas Internal Medicine, Pa?
The Southeast Texas Internal Medicine, Pa is physically situated at Po Box 20477, in the city of Beaumont, state of TX, with the postal code 777200477.
What is the area of specialization for Southeast Texas Internal Medicine, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeast Texas Internal Medicine, Pa is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
When was the Southeast Texas Internal Medicine, Pa's 1730155995 issued?
The Southeast Texas Internal Medicine, Pa's 1730155995 was issued on 2006-02-27.
When was the information pertaining to Southeast Texas Internal Medicine, Pa most recently updated or revised?
The details related to Southeast Texas Internal Medicine, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-23.