Lamar University Student Health Ctr

NPI 1003129891 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003129891
Enumeration Date 07/21/2010
Last Updated 07/21/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHAWN SHAWN
Position COORDINATOR/NURSE
Phone (409) 880-8466
Fax (409) 880-7703
Practice Location
857 E VIRGINIA ST
BEAUMONT TX, 77705-5546, US
Phone (409) 880-8466
Fax (409) 880-7703
Business Location
P O BOX 10015
857 E VIRGINIA
BEAUMONT TX, 77710-5546, US
Phone (409) 880-8466
Fax (409) 880-7703
Toxanomy
Taxonomy Code 363L00000X
License State Texas
License Number 618115
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According to our database, Lamar University Student Health Ctr NPI is 1003129891, taxonomy code is 363L00000X and license number is 618115, license state is located at Texas. Lamar University Student Health Ctr physically located at 857 E Virginia St, Beaumont TX, 77705-5546. NPI Number 1033115704 has the healthcare provider type.

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1003129891 NPI number is provided on an as is basis without warranty of any kind. 1003129891 is maintained by the National Plan & Provider Enumeration System. The contents of Lamar University Student Health Ctr are for informational purposes only.