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Mr. Carl Joseph Beaudry, MD
Specialist in Port Arthur, Texas
NPI 1750338380

Carl Joseph Beaudry is a Specialist based in Port Arthur, TX. Carl Joseph Beaudry practices in Port Arthur, TX and has the professional credentials of MD. The NPI Number for Carl Joseph Beaudry is 1750338380 and holds a License No. E9531 (Texas).

The current practice location address for Carl Joseph Beaudry is 2501 Jimmy Johnson Blvd, Port Arthur, TX and can be reached out via phone at 409-722-4446 and via fax at 409-722-4448.

Location: 2501 Jimmy Johnson Blvd, Port Arthur, TX, 77640-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750338380
Provider Name
Carl Joseph Beaudry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2501 Jimmy Johnson Blvd, Port Arthur, TX, 77640-2007
Phone Number
409-722-4446
Fax Number
409-722-4448
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
097777901 05 TX
E9531 01 TX PHYSICIAN PERMIT
687562 01 TX AETNA
CIGNA 01 TX 3739015001
0082GS 01 TX BLUE CROSS
S0033018 01 TX DPS
institution
Provider Business Practice Location Address Details
Address
2501 Jimmy Johnson Blvd
City
Port Arthur
State
Texas
Zip
77640-2007
Phone Number
409-722-4446
Fax Number
409-722-4448
person
Provider Business Mailing Address Details
Address
2501 Jimmy Johnson Blvd
City
Port Arthur
State
Texas
Zip
77640-2007
Phone Number
409-722-4446
Fax Number
409-722-4448
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E9531 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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