| Cardinal Community Clinic | |
|
4400 Mlk Boulevard Beaumont TX 77710-0000 | |
| (409) 880-7681 | |
| (409) 880-2263 |
| Full Name | Cardinal Community Clinic |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4400 Mlk Boulevard, Beaumont, Texas |
| Authorized Official Name and Position | Carl Sheperis (DEPARTMENT CHAIR) |
| Authorized Official Contact | 4098808978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Community Clinic 4400 Mlk Boulevard Po 10034 Beaumont TX 77710-0000 Ph: (409) 880-7681 | Cardinal Community Clinic 4400 Mlk Boulevard Beaumont TX 77710-0000 Ph: (409) 880-7681 |
| NPI Number | 1073904702 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073904702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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