DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC NPI 1194061655

NPI Information

NPI: 1194061655
Provider Name: DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2168486

Address:
3406 COLLEGE ST STE 200
BEAUMONT, TX
ZIP 77701
Phone: (409) 813-1677
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DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC is a multi-specialty clinic center in Beaumont, TX. DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM PLLC NPI is 1194061655. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3406 COLLEGE ST STE 200
BEAUMONT, TX
ZIP 77701-612
Phone: (409) 813-1677
Fax: (409) 838-7598

The provider's authorized official is Jennifer Ruiz .
The authorized official title is Administrator and has the following contact phone number (409) 813-1677.

The CLIA number assigned to this NPI record is 45D2168486 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2013 and was last updated on 1/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	No
2	207R00000X	Internal Medicine		No
3	207P00000X	Emergency Medicine		No
4	207Q00000X	Family Medicine		No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
6	207RP1001X	Internal Medicine	Pulmonary Disease	No
7	208600000X	Surgery		No
8	208C00000X	Colon & Rectal Surgery		No
9	208D00000X	General Practice		No
10	363L00000X	Nurse Practitioner		No
11	363LA2100X	Nurse Practitioner	Acute Care	No
12	363LF0000X	Nurse Practitioner	Family	No
13	363LG0600X	Nurse Practitioner	Gerontology	No
14	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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