Provider Demographics
NPI:1700292414
Name:BEAUMONT FAMILY URGENT CARE PLLC
Entity Type:Organization
Organization Name:BEAUMONT FAMILY URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFIQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-212-9988
Mailing Address - Street 1:P O BOX 5430
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726
Mailing Address - Country:US
Mailing Address - Phone:409-212-9988
Mailing Address - Fax:409-212-8449
Practice Address - Street 1:490 IH -10 N SUITE # 300
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1822
Practice Address - Country:US
Practice Address - Phone:409-212-9988
Practice Address - Fax:409-212-8449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care