Carl J Beaudry, Md, Pa in Port Arthur - Orthopaedic Surgery
Carl J Beaudry, Md, Pa - NPI 1992997910
Carl J Beaudry, Md, Pa is a Orthopaedic Surgery in Port Arthur, Texas. Carl J Beaudry, Md, Pa practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Carl J Beaudry, Md, Pa is 1992997910. The last update date is 2007-08-14.
Carl J Beaudry, Md, Pa's current location address is 2501 Jimmy Johnson Blvd Ste 202, Port Arthur, Texas. You can contact this provider via phone number 4097224446 and fax number 4097224448. The mailing address for Carl J Beaudry, Md, Pa is 2501 Jimmy Johnson Blvd Ste 202, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carl J Beaudry, Md, Pa |
|---|---|
| Address | 2501 Jimmy Johnson Blvd Ste 202, Port Arthur, Texas |
| Phone Number | 4097224446 |
| Fax Number | 4097224448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Trejo Laree Shanna |
| Telephone Number | 4097224446 |
NPI Number Detail
| NPI Number | 1992997910 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 2501 Jimmy Johnson Blvd Ste 202 |
|---|---|
| City | Port Arthur |
| State | Texas (TX) |
| Post Code | 776402009 |
| Phone Number | 4097224446 |
| Fax Number | 4097224448 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | E9531 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8B7430 | TX | BCBS GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Carl J Beaudry, Md, Pa by the Centers for Medicare & Medicaid Services?
The Carl J Beaudry, Md, Pa has been assigned the NPI (National Provider Identifier) 1992997910. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Carl J Beaudry, Md, Pa?
The Carl J Beaudry, Md, Pa is situated at 2501 Jimmy Johnson Blvd Ste 202, in the city of Port Arthur, state of TX, with the zip code 776402009.
What is Carl J Beaudry, Md, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carl J Beaudry, Md, Pa's area of specialization is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992997910 to Carl J Beaudry, Md, Pa?
The Carl J Beaudry, Md, Pa received its 1992997910 assignment from the Centers for Medicare & Medicaid Services on 2007-08-14.
As of what date were the details related to Carl J Beaudry, Md, Pa most recently updated or revised?
The information pertaining to Carl J Beaudry, Md, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-14.