Shelby Odell Church in Beaumont - Medical
Shelby Odell Church - NPI 1942365564
Shelby Odell Church is a Medical in Beaumont, Texas. Shelby Odell Church practices all healthcare services and medical treatments related to Medical. The NPI Number for Shelby Odell Church is 1942365564. The last update date is 2022-09-07.
Shelby Odell Church's current location address is 6450 Folsom Dr, Beaumont, Texas. You can contact this provider via phone number 4098350524 and fax number 4098350632. The mailing address for Shelby Odell Church is 6450 Folsom Dr, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelby Odell Church |
|---|---|
| Address | 6450 Folsom Dr, Beaumont, Texas |
| Phone Number | 4098350524 |
| Fax Number | 4098350632 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1942365564 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2022-09-07 |
Provider Mailing Address Detail
| Address | 6450 Folsom Dr |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777067269 |
| Phone Number | 4098350524 |
| Fax Number | 4098350632 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01919 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code assigned to Shelby Odell Church by the Centers for Medicare & Medicaid Services?
The Shelby Odell Church has been issued the NPI (National Provider Identifier) 1942365564, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shelby Odell Church is physically located?
The Shelby Odell Church is situated at the following address: 6450 Folsom Dr, Beaumont, TX 777067269.
What is Shelby Odell Church's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shelby Odell Church is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did Shelby Odell Church receive its 1942365564 assignment from the Centers for Medicare & Medicaid Services?
The Shelby Odell Church was assigned its 1942365564 on 2006-12-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Shelby Odell Church's information last updated?
The Shelby Odell Church's information was last updated on 2022-09-07.