| Southeast Texas Occupational Medicine | |
|
6450 Folsom Beaumont TX 77706 | |
| (409) 835-0524 | |
| (409) 833-2058 |
| Full Name | Southeast Texas Occupational Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6450 Folsom, Beaumont, Texas |
| Authorized Official Name and Position | Jay C Proctor (PRESIDENT/OWNER) |
| Authorized Official Contact | 4098350524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Texas Occupational Medicine 6450 Folsom Beaumont TX 77706 Ph: (409) 835-0524 | Southeast Texas Occupational Medicine 6450 Folsom Beaumont TX 77706 Ph: (409) 835-0524 |
| NPI Number | 1629174891 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 06/29/2016 |
| Medicare PECOS PAC ID | 5092744797 |
|---|---|
| Medicare Enrollment ID | O20050811000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629174891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F1914 (Texas) | Primary |
| Provider Name | William Joseph Kujawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851392716 PECOS PAC ID: 3678530482 Enrollment ID: I20041214000183 |
| Provider Name | Josephine H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518933464 PECOS PAC ID: 8426069220 Enrollment ID: I20060508000878 |
| Provider Name | Harry J Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689801730 PECOS PAC ID: 5799839817 Enrollment ID: I20090824000476 |
| Provider Name | Leslie D Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891825832 PECOS PAC ID: 5294880217 Enrollment ID: I20090827000105 |
| Provider Name | Jay C Proctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538160726 PECOS PAC ID: 0547299257 Enrollment ID: I20100621000753 |
| Provider Name | Roman Jules Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396039673 PECOS PAC ID: 5597922468 Enrollment ID: I20120203000444 |
| 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 N Fling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689092322 PECOS PAC ID: 0446477327 Enrollment ID: I20140818000828 |
| Provider Name | Waylon C Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306209721 PECOS PAC ID: 5799084000 Enrollment ID: I20160506001976 |
| Provider Name | Aaran M Gassiott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184132532 PECOS PAC ID: 8628330982 Enrollment ID: I20180326001682 |
| Provider Name | Stacey Meece Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366049686 PECOS PAC ID: 6204248289 Enrollment ID: I20201216000270 |
Shama P Quraishi Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2342 Dowlen Rd Ste 102, Beaumont, TX 77706 Phone: 409-832-7195 Fax: 409-832-8199 | |
Preventive Medicine Of Southeast Texas, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5875 N Major Dr, Beaumont, TX 77713 Phone: 409-892-2262 Fax: 409-899-8475 | |
Kandaswamy Jayaraj Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3030 North St, #310, Beaumont, TX 77702 Phone: 409-892-2111 Fax: 409-892-2173 | |
Legacy Community Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Harrison St Ste 320, Beaumont, TX 77702 Phone: 409-899-1360 Fax: 713-523-4897 | |
Private Hospital Group Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 College St, Beaumont, TX 77707 Phone: 409-722-1197 | |
Beaumont Spine Pain And Sports Medicince Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5220 Eastex Fwy, Beaumont, TX 77708 Phone: 409-924-8600 | |
Folsom Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6510 Folsom Dr, Beaumont, TX 77706 Phone: 409-832-6545 Fax: 409-832-7494 |