Provider Demographics
NPI:1558362574
Name:JOSEPH M FINLEY AND ASSOCIATES MD PA
Entity Type:Organization
Organization Name:JOSEPH M FINLEY AND ASSOCIATES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-838-4533
Mailing Address - Street 1:810 HOSPITAL DR
Mailing Address - Street 2:STE 115
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4600
Mailing Address - Country:US
Mailing Address - Phone:409-838-4533
Mailing Address - Fax:409-833-1616
Practice Address - Street 1:810 HOSPITAL DR
Practice Address - Street 2:STE 115
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4600
Practice Address - Country:US
Practice Address - Phone:409-838-4533
Practice Address - Fax:409-833-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5538207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A3960OtherBLUE CROSS BLUE SHIELD
TX079900901Medicaid
TX079900901Medicaid
TX8A3960OtherBLUE CROSS BLUE SHIELD