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BEAUMONT PRIMARY HEALTHCARE, PLLC
NPI 1245788629
Family Medicine in Beaumont, TX

Active since September 14, 2016CLIA 45D2123163 · Waiver
3510 PRESCOTT DR, BEAUMONT, TX 77706(248) 802-9174 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaumont Primary Healthcare, Pllc NPPES

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

BEAUMONT PRIMARY HEALTHCARE, PLLC (NPI 1245788629) is a healthcare organization registered as a family medicine in Beaumont, Texas and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Marissa Banatwala Curry, Physician, as its authorized official.

NPPES Registry Identity

NPI1245788629
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAUMONT PRIMARY HEALTHCARE, PLLC
Location Address3510 PRESCOTT DRBeaumont, TX 77706-6349
Mailing Address3510 Prescott DrBeaumont, TX 77706-6349
Phone(248) 802-9174
Organization SubpartNo
Authorized OfficialMarissa Banatwala CurryPhysician · (248) 802-9174
Enumeration DateSeptember 14, 2016
✔ NPI 1245788629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M7928
Definition
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.
3510 PRESCOTT DR, Beaumont, TX 77706
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2123163

Beaumont Primary Healthcare, PLLC · Beaumont, TX
Active · expires Dec 13, 2026
CLIA Number45D2123163
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorMarissa B. Curry
Laboratory Phone(248) 802-9174
Laboratory LocationBeaumont Primary Healthcare, PLLC3030 North Street, Suite 310, Beaumont, TX 77702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Beaumont Primary Healthcare, PLLC's NPI number?

The NPI number for Beaumont Primary Healthcare, PLLC is 1245788629. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is Beaumont Primary Healthcare, PLLC located?

Beaumont Primary Healthcare, PLLC is located at 3510 Prescott Dr, Beaumont, TX 77706. The listed phone number is (248) 802-9174.

What is Beaumont Primary Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beaumont Primary Healthcare, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2123163) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beaumont Primary Healthcare, PLLC was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.