National Provider Identifier Database

HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT
Preventive Medicine/Occupational-Environmental Medicine


Contact Information

HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT
11357 IH 10, SW @ SMITH ROAD
BEAUMONT, TX77720
Phone: 704-936-5546
Fax:
Website:
Specialty Taxonomy Code
* Preventive Medicine/Occupational-Environmental Medicine 2083P0500X

* Indicates primary specialty

NPI Profile & details for HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT

NPI Number 1790332955
Legal business name
LBN
HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT
Authorized official JILL PATTON - (DIRECTOR OF RISK MANAGEMENT)
Entity Organization
Organization subpart No
Enumeration date 08/22/2019
Last updated 08/22/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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