Exceptional Physicians Group Beaumont PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EXCEPTIONAL PHYSICIANS GROUP BEAUMONT PLLC

Practice address

4755 Eastex Fwy
Beaumont, TX 77706-7115

Phone

(469) 341-7800

Fax

(346) 215-1007

NPI assigned

Aug 27, 2019

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saeed S Mahboubi

Title

Cfo

Phone

(469) 341-7800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1326696931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067115",
            "telephone_number": "469-341-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067115",
            "telephone_number": "469-341-7800",
            "fax_number": "346-215-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL PHYSICIANS GROUP BEAUMONT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MAHBOUBI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-341-7800"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Lee Evans, M.D.
• Amy L Everett, MSW
• Amy Evernden, OT
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• Exceptional H C Beaumont LLC
• Eye Centers of Southeast Texas LLP
• Eyeglass World
• Eyemart Express LLC
• Eyemart Express, LTD.
• Eyemasters of Texas, LTD. (EyeMasters)

• Emergency Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.