| Greater Beaumont Pediatrics And Family Medicine | |
|
3070 College St Suite 205 Beaumont TX 77701-4688 | |
| (409) 832-1225 | |
| (409) 832-0927 |
| Full Name | Greater Beaumont Pediatrics And Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3070 College St, Beaumont, Texas |
| Authorized Official Name and Position | Ramzi S Dakour (PRESIDENT) |
| Authorized Official Contact | 4098321225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Beaumont Pediatrics And Family Medicine 3070 College St Suite 205 Beaumont TX 77701-4688 Ph: (409) 832-1225 | Greater Beaumont Pediatrics And Family Medicine 3070 College St Suite 205 Beaumont TX 77701-4688 Ph: (409) 832-1225 |
| NPI Number | 1851716385 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 4486878527 |
|---|---|
| Medicare Enrollment ID | O20140612000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851716385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ramzi S Dakour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831397454 PECOS PAC ID: 7618163999 Enrollment ID: I20101129000727 |
| Provider Name | Ramona Ataya-dakour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033418470 PECOS PAC ID: 1355585399 Enrollment ID: I20130913000246 |
| Provider Name | Rebecca E Balfanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458359 PECOS PAC ID: 9931536901 Enrollment ID: I20200304000735 |
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