| Beaumont Primary Healthcare, Pllc | |
|
3510 Prescott Dr Beaumont TX 77706-6349 | |
| (248) 802-9174 | |
| Not Available |
| Full Name | Beaumont Primary Healthcare, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3510 Prescott Dr, Beaumont, Texas |
| Authorized Official Name and Position | Marissa Banatwala Curry (PHYSICIAN) |
| Authorized Official Contact | 2488029174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Primary Healthcare, Pllc 3510 Prescott Dr Beaumont TX 77706-6349 Ph: () - | Beaumont Primary Healthcare, Pllc 3510 Prescott Dr Beaumont TX 77706-6349 Ph: (248) 802-9174 |
| NPI Number | 1245788629 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Medicare PECOS PAC ID | 1052690591 |
|---|---|
| Medicare Enrollment ID | O20161128001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245788629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7928 (Texas) | Primary |
| Provider Name | Marissa B Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225259666 PECOS PAC ID: 5092897751 Enrollment ID: I20080204000083 |
| Provider Name | Farron C Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689802407 PECOS PAC ID: 2961658190 Enrollment ID: I20120803000449 |
| Provider Name | Keri Ann Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508261504 PECOS PAC ID: 8224351093 Enrollment ID: I20141231000887 |
| Provider Name | Jason Wayne Sikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578076972 PECOS PAC ID: 0547592354 Enrollment ID: I20191029000482 |
| Provider Name | Celeste Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083813190 PECOS PAC ID: 7416044789 Enrollment ID: I20210316000717 |
| Provider Name | Ryan P Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992315014 PECOS PAC ID: 5698162147 Enrollment ID: I20220502000528 |
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