| Pca Setx LLC | |
|
4347 Phelan Blvd Ste 101 Beaumont TX 77707-2159 | |
| (409) 498-1258 | |
| Not Available |
| Full Name | Pca Setx LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4347 Phelan Blvd Ste 101, Beaumont, Texas |
| Authorized Official Name and Position | Sabrina Davis (BILLING MANAGER) |
| Authorized Official Contact | 4092074941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pca Setx LLC 17400 Frio Dr Beaumont TX 77713-4300 | Pca Setx LLC 4347 Phelan Blvd Ste 101 Beaumont TX 77707-2159 Ph: (409) 498-1258 |
| NPI Number | 1760275945 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Medicare PECOS PAC ID | 7719488493 |
|---|---|
| Medicare Enrollment ID | O20250903001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760275945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Amber N Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073955837 PECOS PAC ID: 8325263288 Enrollment ID: I20140709000464 |
| Provider Name | Amber Tenille Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093340697 PECOS PAC ID: 8123430022 Enrollment ID: I20201217002536 |
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