person
Mr. Shelby Odell Church JR., PA-C
Medical Physician Assistant in Beaumont, Texas
NPI 1942365564

Shelby Odell Church JR. is a Medical Physician Assistant based in Beaumont, TX and is specialized in Medical. Shelby Odell Church JR. practices in Beaumont, TX and has the professional credentials of PA-C. The NPI Number for Shelby Odell Church JR. is 1942365564 and holds a License No. PA01919 (Texas).

The current practice location address for Shelby Odell Church JR. is 6450 Folsom Dr, Beaumont, TX and can be reached out via phone at 409-835-0524 and via fax at 409-833-2058. You can also correspond with Shelby Odell Church JR. through the mailing address at 6450 FOLSOM DR, BEAUMONT, TX - 77706-7269 (mailing address contact number: 409-835-0524).

Location: 6450 Folsom Dr, Beaumont, TX, 77706-7269
person
Provider Profile Details
NPI Number
1942365564
Provider Name
Shelby Odell Church JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6450 Folsom Dr, Beaumont, TX, 77706-7269
Phone Number
409-835-0524
Fax Number
409-833-2058
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6450 Folsom Dr
City
State
Zip
77706-7269
Phone Number
409-835-0524
Fax Number
409-833-2058
person
Provider Business Mailing Address Details
Address
6450 Folsom Dr
City
State
Zip
77706-7269
Phone Number
409-835-0524
Fax Number
409-833-2058
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01919 (Texas)
Definition
Definition to come...
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