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FANNETT MEDICAL CENTER
NPI 1275928673
Clinic/Center - Primary Care in Beaumont, TX

Active since April 02, 2015CLIA 45D2122000 · Waiver
15321 HIGHWAY 124, BEAUMONT, TX 77705(409) 794-2314 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fannett Medical Center NPPES

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

FANNETT MEDICAL CENTER (NPI 1275928673) is a healthcare organization registered as a primary care in Beaumont, Texas and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Rogelio Mendoza, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1275928673
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFANNETT MEDICAL CENTER
Location Address15321 HIGHWAY 124Beaumont, TX 77705-9127
Mailing Address3535 Grayson LnBeaumont, TX 77713-4158 · (409) 201-2994
Phone(409) 794-2314
Organization SubpartNo
Authorized OfficialRogelio MendozaDirector/owner · (409) 794-2314
Enumeration DateApril 2, 2015
✔ NPI 1275928673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · AP127771
15321 HIGHWAY 124, Beaumont, TX 77705
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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 45D2122000

Fannett Medical Center · Beaumont, TX
Active · expires Nov 16, 2026
CLIA Number45D2122000
Laboratory TypePractitioner Other
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDaisy M. Arco
Laboratory Phone(409) 794-2314
Laboratory LocationFannett Medical Center15321 Highway 124, Beaumont, TX 77705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGELIO D MENDOZA MD PA
Family Medicine
15321 HIGHWAY 124
BEAUMONT, TX 77705
Jefferson County (409) 794-2314
PHUC NHAT LE MD PA
Family Medicine
15321 HIGHWAY 124
BEAUMONT, TX 77705
Jefferson County (409) 794-2315
MR. ZEUS SONTILLANOSA ARCO NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
15321 HIGHWAY 124
BEAUMONT, TX 77705
Jefferson County (409) 794-2314
DAISY MAE ARCO
Nurse Practitioner (Family)
15321 HIGHWAY 124
BEAUMONT, TX 77705
Jefferson County (409) 794-2314
FANNETT FAMILY MEDICAL CENTER
Clinic/Center (Primary Care)
15321 HIGHWAY 124
BEAUMONT, TX 77705
Jefferson County (409) 794-2314

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 Fannett Medical Center's NPI number?

The NPI number for Fannett Medical Center is 1275928673. It was assigned to this organization in the NPPES registry on April 2, 2015.

Where is Fannett Medical Center located?

Fannett Medical Center is located at 15321 Highway 124, Beaumont, TX 77705. The listed phone number is (409) 794-2314.

What is Fannett Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Fannett Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2122000) is associated with this NPI, valid through November 16, 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 Fannett Medical Center was last updated on April 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.