Beaudoin, Ebony

Beaudoin, Ebony is an individual health care provider with primary practice located at 6410 Fannin St Suite 500, Houston TX 77030-3000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Beaudoin, Ebony can be contacted via phone (832) 325-7111.

Contact Information

Primary practice address
6410 Fannin St Suite 500 Houston TX 77030-3000
Phone: (832) 325-7111
Fax: (713) 512-2227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X M2203 Texas

Profile Details

NPI number 1124053095
LBN Legal business name Beaudoin, Ebony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124053095 NPPES
Texas MEDICAID 190090401
Texas Other 8U5760
Texas MEDICAID 176422501

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