ELOISE D TATUM
NPI 1215898887
Military Health Care Provider in Beaumont, TX

Active since November 21, 2025
2472 PECOS ST, BEAUMONT, TX 77702(409) 932-6534 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eloise D Tatum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELOISE D TATUM (NPI 1215898887) is an individual military health care provider provider in Beaumont, Texas, licensed in (39-4691662) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1215898887
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameELOISE D TATUM
Location Address2472 PECOS STBeaumont, TX 77702-2319
Mailing Address2472 Pecos StBeaumont, TX 77702-2319
Sole ProprietorYes
Enumeration DateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1215898887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed · 39-4691662
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2472 PECOS ST, Beaumont, TX 77702

Other Names 1

Professional Name (2)Mrs. Michelle Renee Johnson Employee

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eloise Tatum's NPI number?

The NPI number for Eloise Tatum is 1215898887. It was assigned to this individual provider in the NPPES registry on November 21, 2025. The provider is also known as Mrs. Michelle Renee Johnson Employee.

Where is Eloise Tatum located?

Eloise Tatum practices at 2472 Pecos St, Beaumont, TX 77702. The listed phone number is (409) 932-6534.

What is Eloise Tatum's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Eloise Tatum was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.