EBONY BEAUDOIN MD NPI 1124053095

NPI Information

Ebony Beaudoin, MD is a pediatric emergency medicine pediatrics in Houston, TX with 22 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Ebony Beaudoin, MD NPI is 1124053095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

6410 FANNIN ST
SUITE 500
HOUSTON, TX
ZIP 77030-000
Phone: (832) 325-7111
Fax: (713) 512-2227

The NPI 1124053095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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