Beaumont Pediatric Center, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BEAUMONT PEDIATRIC CENTER, PLLC

Practice address

3127 College St
Beaumont, TX 77701-4609

Phone

(409) 899-1433

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Carl J Hubbell, MD

Title

Medical Director

Phone

(409) 899-1433

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1326125949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014609",
            "telephone_number": "409-899-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT PEDIATRIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "409-899-1433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beaumont Plastic Surgery Associates, P.a.
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• Beaumont Primary Healthcare, PLLC
• Beaumont Psychological Services PC

• Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.