MARY GRACE PASTOR (NPI# 1518966647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518966647 |
| Entity Type | Individual |
| Full Name | MARY GRACE PASTOR |
| Other Name | MARY GRACE PASTOR |
| Credential | MD |
| Practice Address |
4450 Highland Ave Beaumont TX 77705 |
| Mailing Address |
Po Box 66308 Houston TX 77266 |
| Practice Telephone | 4098321924 |
| Practice Fax Number | 7135234897 |
| Mailing Telephone | 8325485076 |
| Mailing Fax Number | 7135234897 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2013-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K6214 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080462703 | 05 | |
| TX | 126826002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437682887 | Mary Rebecca Pastor | Counselor | 8820 Ladue Rd, 3rd Floor, Saint Louis, MO 63124-2079 | 2017-04-04 |
| Street Address |
4450 HIGHLAND AVE |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536740 | Kimberlie J Gonzalez | Family Medicine | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2005-05-27 |
| 1366812000 | Rachel Adams | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2015-10-06 |
| 1447671987 | Rose Brooks Lorenzen | Counselor | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2013-12-31 |
| 1235482878 | Legacy Community Health Services, Inc | Clinic/Center | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2012-10-19 |
| 1598037608 | Cynthia Renee Roland | Obstetrics & Gynecology | 4450 Highland Ave, Beaumont, TX 77705 | 2012-02-04 |
| 1932483526 | Gaurav Puri Pa | Dentist | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2011-10-01 |
| 1508173170 | Charukesi Chandrasekaran | Psychiatry & Neurology | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2010-09-02 |
| 1689801730 | Harry Jae Doyle | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2009-06-16 |
| 1093957417 | Rhonda S Dixon | Registered Nurse | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2009-03-31 |
| 1225190416 | Lois E Muhammad | Family Medicine | 4450 Highland Ave, Beaumont, TX 77705 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431390 | Iris Fiaui | Specialist/Technologist | 4400 Mlk Jr Pkwy, Beaumont, TX 77705 | 2019-11-08 |
| 1437644937 | Kolten Elizabeth Adams | Specialist/Technologist | 4400 S Mlk Jr Parkway, Beaumont, TX 77705 | 2018-06-27 |
| 1326443391 | Scott Forbes | Psychologist | 6200 Knauth Rd, Beaumont, TX 77705 | 2014-11-03 |
| 1518367622 | Dennis Agricola | Nurse Practitioner | 6200 Knauth Road, Beaumont, TX 77705 | 2014-08-26 |
| 1639591480 | Chs Texas Medical, P.a. | General Practice | 11357 Highway 10 Sw, Smith Rd, Beaumont, TX 77705 | 2014-01-14 |
| 1649523309 | Tri-medical Emergency Medical Services Lp | Ambulance | 4610 St. Louis St, Beaumont, TX 77705 | 2012-10-18 |
| 1437462785 | Cynthia Ksiazek | Social Worker | 857 E Virginia, Beaumont, TX 77705 | 2010-07-15 |
| 1457509424 | Gaurav Puri | Dentist | 4400 Highland Ave, Beaumont, TX 77705 | 2008-09-03 |
| 1588811731 | Prasad L Surapaneni | Family Medicine | 5430 Knauth Rd, Beaumont, TX 77705 | 2008-08-19 |
| 1891994612 | Jennifer Lien Truong | Occupational Therapist | 4205 Grandberry, Beaumont, TX 77705 | 2007-07-12 |
| Find all providers in zip 77705 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481043 | Alicia Georgetown | Family Medicine | 6920 Glen Willow Dr, Beaumont, TX 77706-4112 | 2020-09-12 |
| 1568085108 | Partners In Primary Care Tx, Pa | Family Medicine | 4886 Dowlen Rd, Beaumont, TX 77708-4828 | 2020-05-18 |
| 1447890397 | Texas Center for Health, Pllc | Family Medicine | 2965 Harrison St Ste 317, Beaumont, TX 77702-1150 | 2020-01-08 |
| 1821636598 | Sara Marie Devine | Family Medicine | 34425 Venturi Ave, Beaumont, CA 92223-7472 | 2019-12-12 |
| 1558839076 | Permian Premier Health Services Inc | Family Medicine | 2929 Calder St Ste 100, Beaumont, TX 77702-1841 | 2018-11-02 |
| 1245788629 | Beaumont Primary Healthcare, Pllc | Family Medicine | 3510 Prescott Dr, Beaumont, TX 77706-6349 | 2016-09-14 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| 1619394756 | Pranav Bhatt | Family Medicine | 3030 North St Ste 420, Beaumont, TX 77702-1434 | 2014-03-26 |
| 1588811731 | Prasad L Surapaneni | Family Medicine | 5430 Knauth Rd, Beaumont, TX 77705 | 2008-08-19 |
| 1396902672 | Ramya Hullur Subramanyam | Family Medicine | 3580 Prescott Dr, Beaumont, TX 77706-6349 | 2008-05-22 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.