UTMB FACULTY GROUP PRACTICE – NPI #1821039058
Clinic/Center

UTMB FACULTY GROUP PRACTICE is an AHC clinic located in BEAUMONT, TX. NPPES has assigned the NPI number 1821039058 to UTMB FACULTY GROUP PRACTICE on June 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 17 years ago on Sep 22, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UTMB FACULTY GROUP PRACTICE below.

NPI Profile for
UTMB FACULTY GROUP PRACTICE

NPI Number
1821039058
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UTMB FACULTY GROUP PRACTICE
Primary location
950 WASHINGTON BLVD
BEAUMONT, TX 77705-2251
Phone: (409) 833-3826 Fax: (409) 833-9575
Mailing address
P O BOX 4797-710
HOUSTON, TX 77210-4797
Phone: (409) 772-2222 Fax:
Organization Subpart
No
Authorized Official
CYNTHIA SMITH
DIRECTOR
Phone: (409) 772-2222
Updated
Identifiers

Identifiers for UTMB FACULTY GROUP PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX112048704
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.