Active NPI
Etx Medical Group, PLLC
- Urgent Care Clinic/Center
- Beaumont, TX
National Provider Identifier
1629669684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ETX MEDICAL GROUP, PLLC
- Practice address
- 4310 Dowlen Rd Ste 16
Beaumont, TX 77706-6861 - Phone
- (409) 299-4448
- Fax
- (409) 299-4407
- NPI assigned
- Feb 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Burkes, MD
- Title
- Owner
- Phone
- (409) 299-4448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
4310 Dowlen Rd Ste 16
Beaumont, TX 77706-6861
Mailing address
4310 Dowlen Rd Ste 16
Beaumont, TX 77706-6861
Phone (409) 299-4448
Other names 1
- EastEx Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210315000437 | TX | Part B Supplier - Clinic/Group Practice | 8729494927 |
Receives reassigned benefits from 19 practitioners Practice locations: Beaumont, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2206847 | Etx Medical Group, PLLC Dba Eastex Urgent Care | Certificate of waiver | Dec 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
4310 Dowlen Rd
Beaumont, TX 77706
4310 Dowlen Rd
Ste 16
Beaumont, TX 77706
Phone (409) 299-4448
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612137600000",
"number": "1629669684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 DOWLEN RD STE 16",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066861",
"telephone_number": "409-299-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 DOWLEN RD STE 16",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066861",
"telephone_number": "409-299-4448",
"fax_number": "409-299-4407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETX MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A",
"authorized_official_last_name": "BURKES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-299-4448",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EastEx Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}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 Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.