First Ascent Medical Of East Texas, Pa

NPI 1710233226 - Family Medicine - 207Q00000X

NPI Details
NPI 1710233226
Enumeration Date 08/02/2012
Last Updated 09/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARTIN JOSEPH MARTIN
Position OWNER
Phone (409) 455-1071
Fax (409) 232-0574
Practice Location
2830 CALDER ST
BEAUMONT TX, 77702-1809, US
Phone (409) 455-1071
Fax (409) 232-0574
Business Location
7950 SILVERLEAF ST
BEAUMONT TX, 77707-3637, US
Phone (409) 455-1071
Fax (409) 232-0574
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number M7456
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According to our database, First Ascent Medical Of East Texas, Pa NPI is 1710233226, taxonomy code is 207Q00000X and license number is M7456, license state is located at Texas. First Ascent Medical Of East Texas, Pa physically located at 2830 Calder St, Beaumont TX, 77702-1809. NPI Number 1033115704 has the healthcare provider type.

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1710233226 NPI number is provided on an as is basis without warranty of any kind. 1710233226 is maintained by the National Plan & Provider Enumeration System. The contents of First Ascent Medical Of East Texas, Pa are for informational purposes only.