Dominique J Beaudry Md Pa
LBN: Dominique J Beaudry Md Pa
Dominique J Beaudry Md Pa is an health care organization with primary practice located at 3030 North St Suite 312, Beaumont TX 77702-1433. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty.
Dominique J Beaudry Md Pa can be contacted via phone (409) 899-2020, or through Beaudry, Dominique J via phone (409) 899-2121.
Contact Information
Primary practice address
3030 North St Suite 312
Beaumont TX 77702-1433
Phone: (409) 899-2020
Fax: (409) 899-2121
Website:
Authorized official contact:
Name: Beaudry, Dominique J Doctor of Medicine (MD)
Phone: (409) 899-2121
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M9151 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | M9151 | Texas |
Profile Details
| NPI number | 1467616201 |
|---|---|
| LBN Legal business name | Dominique J Beaudry Md Pa |
| DBA Doing business as | |
| Authorized official | Beaudry, Dominique J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Sep 23rd, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467616201 | NPPES |
| Texas | MEDICAID | 197371102 |
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