Provider Demographics
NPI:1770141327
Name:BEAUMONT URGENT CARE SETX, LLC
Entity type:Organization
Organization Name:BEAUMONT URGENT CARE SETX, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-BC
Authorized Official - Phone:409-333-1272
Mailing Address - Street 1:PO BOX 7718
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-7718
Mailing Address - Country:US
Mailing Address - Phone:409-333-1272
Mailing Address - Fax:409-333-1278
Practice Address - Street 1:3650 N. MAJOR DR.
Practice Address - Street 2:SUITE A
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77713
Practice Address - Country:US
Practice Address - Phone:409-333-1272
Practice Address - Fax:409-333-1278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care