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MEDICAL UNITED FOUNDATION INC NPI 1720675648


NPI Information

NPI: 1720675648
Provider Name: MEDICAL UNITED FOUNDATION, INC

Doing Business As: TEXAS CENTER FOR HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 45D2218048

Address:
3610 STAGG DR
BEAUMONT, TX
ZIP 77701
Phone: (409) 673-4139
Get Directions

MEDICAL UNITED FOUNDATION, INC is an obstetrics gynecology in Beaumont, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MEDICAL UNITED FOUNDATION, INC NPI is 1720675648. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Texas Center For Health.

The provider's business location address is:

3610 STAGG DR
BEAUMONT, TX
ZIP 77701-713
Phone: (409) 673-4139
Fax: (409) 291-8010

The provider's authorized official is Kimberly Wilson .
The authorized official title is Director and has the following contact phone number (409) 673-4139.

The CLIA number assigned to this NPI record is 45D2218048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2020 and was last updated on 5/10/2021.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2163WL0100XRegistered NurseLactation ConsultantNo
3207Q00000XFamily MedicineNo
4207V00000XObstetrics & GynecologyYes
5261QM1300XClinic/CenterMulti-SpecialtyNo

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1421186401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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