Organization Active NPI

Whole Woman'S Health of Beaumont, LP

  • Obstetrics & Gynecology Physician
  • Beaumont, TX
National Provider Identifier
1215056353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8137 Issued in TX
Legal business name
WHOLE WOMAN'S HEALTH OF BEAUMONT, LP
Practice address
3470 Fannin St
Suite 3
Beaumont, TX 77701-3803
Phone
(409) 833-9207
Fax
(409) 832-4625
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Hagstom Miller
Title
Ceo
Phone
(409) 833-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 8137 TX Primary

Addresses

Primary practice location

3470 Fannin St
Suite 3
Beaumont, TX 77701-3803

Mailing address

3470 Fannin St
Suite 3
Beaumont, TX 77701-3803
Phone (409) 833-9207

National Provider Directory

National Provider Directory

Locations

440 N 18th St
Ste A
Beaumont, TX 77707
Phone (409) 833-7062

3470 Fannin St
Ste 3
Beaumont, TX 77701
Phone (409) 833-9207

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215056353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 FANNIN ST",
            "address_2": "SUITE 3",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013803",
            "telephone_number": "409-833-9207",
            "fax_number": "409-832-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 FANNIN ST",
            "address_2": "SUITE 3",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013803",
            "telephone_number": "409-833-9207",
            "fax_number": "409-832-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WOMAN'S HEALTH OF BEAUMONT, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGSTOM MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-833-9207"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "8137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.