GLEN G.GUILLET M.D.,P.A. (NPI# 1730394545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730394545 |
Entity Type | Organization |
Organization Name | GLEN G.GUILLET M.D.,P.A. |
Practice Address |
5875 N Major Dr Suite 214 Beaumont TX 77713-9013 |
Practice Telephone | 4098965901 |
Practice Fax Number | 4098965910 |
Mailing Telephone | 4098965901 |
Mailing Fax Number | 4098965910 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2011-05-10 |
Authorized Official Name | DR. GLEN G GUILLET (CEO) |
Authorized Official Telephone | 4098965901 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D2455 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 128065306 | 05 | |
TX | BCBS | 0007PM | 01 |
Street Address |
5875 N MAJOR DR SUITE 214 |
City | BEAUMONT |
State | TX |
Zip Code | 77713-9013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326059577 | Glen G. Guillet | Family Medicine | 5875 N Major Dr, Suite 214, Beaumont, TX 77713-9013 | 2006-08-11 |
1386036705 | Laurie Kitchens Reimers | Nurse Practitioner | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2015-02-22 |
1720425630 | Cheryl Lynn Hobbs | Nurse Practitioner | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2013-05-31 |
1316296809 | Jennifer Fuqua Bryant | Nurse Practitioner | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2012-08-30 |
1487916102 | Zachary Cerini | Family Medicine | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2012-06-08 |
1952685885 | Angela K Rori | Nurse Practitioner | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2011-10-11 |
1508037037 | Erica N. Cheshire | Nurse Practitioner | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2008-03-12 |
1891825832 | Leslie Denise Powell | Family Medicine | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2007-03-07 |
1568598142 | Lee Haak Md Pa | Family Medicine | 5875 N Major Dr, Ste 134, Beaumont, TX 77713 | 2007-02-26 |
1689741340 | Aleyamma Abraham | Family Medicine | 5875 N Major Dr, Beaumont, TX 77713-9034 | 2006-11-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770141327 | Beaumont Urgent Care Management Partners, LLC | Clinic/Center | 3650 N. Major Dr., Suite A, Beaumont, TX 77713 | 2019-05-30 |
1518233485 | Jennifer Price | Technician | 7495 Westhaven, Beaumont, TX 77713 | 2012-03-26 |
1861535452 | Leila Elizabeth Cleveland | Audiologist | 6270 Phelan Blvd, Beaumont, TX 77713 | 2007-02-14 |
1821190851 | Austin A Barnett Dds PC | Dentist | 7985 Hwy 105, Beaumont, TX 77713 | 2006-09-01 |
1316051238 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 10980 Pinehaven, Beaumont, TX 77713 | 2006-08-18 |
1982718805 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 11510 Loop Road, Beaumont, TX 77713 | 2006-08-18 |
1417567934 | Cassandra Covington Dewall | Counselor | 8150 N. Major Dr., Beaumont, TX 77713 | 2020-08-10 |
1508485251 | Setx Healthcare Partners LLC | Clinic/Center | 3255 N Major Dr Ste F, Beaumont, TX 77713-1034 | 2020-04-13 |
1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
1821117961 | Charles Richard Sherron | Contractor | 9889 Boyt Rd, Beaumont, TX 77713-2975 | 2007-03-28 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1245781541 | Fannett Family Medical Center | Clinic/Center | 15321 Highway 124, Beaumont, TX 77705-9127 | 2016-10-21 |
1275928673 | Fannett Medical Center | Clinic/Center | 15321 Highway 124, Beaumont, TX 77705-9127 | 2015-04-02 |
1457680811 | Young G. In, Md, Pa | Clinic/Center | 3432 Fannin St, Beaumont, TX 77701-3803 | 2009-12-14 |
1497992127 | Grigoriy Rodonaia Md Pa | Clinic/Center | 2955 Harrison St, Ste 200, Beaumont, TX 77702-1154 | 2009-01-16 |
1487739439 | Vida Keller Riston Rn, Cnm, PC | Clinic/Center | 2627 Calder St, Beaumont, TX 77702-1916 | 2006-10-26 |
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1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
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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.