HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT; NPI #1790332955

Contact Information

HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT

11357 IH 10, SW @ SMITH ROAD
BEAUMONT, TX 77720

Phone: 704-936-5546
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Preventive Medicine/Occupational-Environmental Medicine	2083P0500X	84	Physician/Preventive Medicine

Indicates primary specialty

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NPI Profile & details for HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT

NPI #	`1790332955`
LBN Legal business name	HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT
Authorized official	JILL PATTON - (DIRECTOR OF RISK MANAGEMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/22/2019
Last updated	08/22/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT

Contact Information

Specialty

Preventive Medicine/Occupational-Environmental Medicine

NPI Profile & details for HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT

Reviews for HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT