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SUSAN K CRAIG M D P A NPI 1811941040


NPI Information

NPI: 1811941040
Provider Name: SUSAN K CRAIG M D P A
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3070 COLLEGE STREET
SUITE 120
BEAUMONT, TX
ZIP 77701
Phone: (409) 835-2300
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SUSAN K CRAIG M D P A is a family medicine in Beaumont, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUSAN K CRAIG M D P A NPI is 1811941040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3070 COLLEGE STREET
SUITE 120
BEAUMONT, TX
ZIP 77701-688
Phone: (409) 835-2300
Fax: (409) 835-2375

The provider's authorized official is Susan K Craig .
The authorized official title is Owner and has the following contact phone number (409) 835-2300.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 12/6/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineK2884TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10002QNOTHERTEXASBCBS PROVIDER NUMBER
2213984201MEDICAIDTEXAS
3DE9051MEDICARE PINTEXAS
400W537MEDICARE PINTEXAS
5G72035MEDICARE UPINTEXAS

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: 11/14/2023

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