Care for PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARE FOR PA

Practice address

324 N 23Rd St
Beaumont, TX 77707

Phone

(409) 839-4600

NPI assigned

Jul 3, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jessica R Evans

Title

Credentialing Personal

Phone

(281) 930-5182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1619463536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N 23RD ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072241",
            "telephone_number": "409-839-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N 23RD ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77707",
            "telephone_number": "409-839-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING PERSONAL",
        "authorized_official_telephone_number": "281-930-5182",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.