Beaumont House Call Doctor Pllc | |
2050 N 11th St Ste 1 Beaumont TX 77703-4988 | |
(409) 223-7855 | |
Not Available |
Full Name | Beaumont House Call Doctor Pllc |
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Speciality | Clinic/Center |
Location | 2050 N 11th St Ste 1, Beaumont, Texas |
Authorized Official Name and Position | Rosemary Eseh-logue (PRESIDENT) |
Authorized Official Contact | 2813813565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beaumont House Call Doctor Pllc 2050 N 11th St Ste 1 Beaumont TX 77703-4988 Ph: (409) 223-7855 | Beaumont House Call Doctor Pllc 2050 N 11th St Ste 1 Beaumont TX 77703-4988 Ph: (409) 223-7855 |
NPI Number | 1265180269 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 03/17/2022 |
Medicare PECOS PAC ID | 0042692063 |
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Medicare Enrollment ID | O20220808000081 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265180269 | NPI | - | NPPES |
Provider Name | Rosemary Eseh Logue |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013237296 PECOS PAC ID: 8426290032 Enrollment ID: I20130812000307 |
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