Basic Information
| Provider Information | |||||||||
| NPI: | 1700292414 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEAUMONT FAMILY URGENT CARE PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | P O BOX 5430 | ||||||||
| Address2: | |||||||||
| City: | BEAUMONT | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4092129988 | ||||||||
| FaxNumber: | 4092128449 | ||||||||
| Practice Location | |||||||||
| Address1: | 490 IH -10 N SUITE # 300 | ||||||||
| Address2: | |||||||||
| City: | BEAUMONT | ||||||||
| State: | TX | ||||||||
| PostalCode: | 777021822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4092129988 | ||||||||
| FaxNumber: | 4092128449 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2014 | ||||||||
| LastUpdateDate: | 07/02/2014 | ||||||||
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| AuthorizedOfficialLastName: | RAFIQ | ||||||||
| AuthorizedOfficialFirstName: | SHAHID | ||||||||
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| AuthorizedOfficialTitleorPosition: | DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 4092129988 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.