| Medical United Foundation, Inc | |
|
3610 Stagg Dr Beaumont TX 77701-3713 | |
| (409) 673-4139 | |
| (409) 291-8010 |
| Full Name | Medical United Foundation, Inc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 3610 Stagg Dr, Beaumont, Texas |
| Authorized Official Name and Position | Kimberly Wilson (DIRECTOR) |
| Authorized Official Contact | 4096734139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical United Foundation, Inc Po Box 7072 Beaumont TX 77726-7072 Ph: (409) 673-4139 | Medical United Foundation, Inc 3610 Stagg Dr Beaumont TX 77701-3713 Ph: (409) 673-4139 |
| NPI Number | 1720675648 |
|---|---|
| Provider Enumeration Date | 12/26/2020 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720675648 | NPI | - | NPPES |
| 421186401 | Medicaid | TX |
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