| Fannett Family Medical Center | |
|
15321 Highway 124 Beaumont TX 77705-9127 | |
| (409) 794-2314 | |
| Not Available |
| Full Name | Fannett Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 15321 Highway 124, Beaumont, Texas |
| Authorized Official Name and Position | Daisy Arco (FNP-C) |
| Authorized Official Contact | 4097942314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fannett Family Medical Center 15321 Highway 124 Beaumont TX 77705-9127 Ph: (409) 794-2314 | Fannett Family Medical Center 15321 Highway 124 Beaumont TX 77705-9127 Ph: (409) 794-2314 |
| NPI Number | 1245781541 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Medicare PECOS PAC ID | 8022374610 |
|---|---|
| Medicare Enrollment ID | O20171115000995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245781541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP127771 (Texas) | Primary |
| Provider Name | Ali Osman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194842476 PECOS PAC ID: 7517860687 Enrollment ID: I20040128000416 |
| Provider Name | Daisy C Arco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083008320 PECOS PAC ID: 3375848427 Enrollment ID: I20160226001303 |
| Provider Name | Zeus S Arco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386134278 PECOS PAC ID: 0749536092 Enrollment ID: I20180629000144 |
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