SOUTHEAST TEXAS OCCUPATIONAL MEDICINE
NPI 1629174891
Family Medicine in Beaumont, TX

Active since September 15, 2006
6450 FOLSOM, BEAUMONT, TX 77706(409) 835-0524(409) 833-2058 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2016, Feb 23, 2016 (2 updates tracked since 2016).

About Southeast Texas Occupational Medicine NPPES

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

SOUTHEAST TEXAS OCCUPATIONAL MEDICINE (NPI 1629174891) is a healthcare organization registered as a family medicine in Beaumont, Texas and active in the NPI registry since September 2006. The organization lists Jay C Proctor, President/owner, as its authorized official.

NPPES Registry Identity

NPI1629174891
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAUMONT FAMILY PRACTICE ASSOCIATES PA
Location Address6450 FOLSOMBeaumont, TX 77706
Mailing Address6450 FolsomBeaumont, TX 77706 · (409) 835-0524 · Fax (409) 833-2058
Fax(409) 833-2058
Organization SubpartYesParent: Beaumont Family Practice Assoc. Pa.
Authorized OfficialJay C ProctorPresident/owner · (409) 835-0524
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJune 29, 20162 updates tracked since enumeration
NPI 1629174891 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 · F1914
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.
6450 FOLSOM, Beaumont, TX 77706

Other Names 1

Doing Business AsSoutheast Texas Occupational Medicine

Other Identifiers 2

Medicare PIN88140FTX
Medicare ID-Type UnspecifiedO1BYTX · Group

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

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 Family Practice Associates PA's NPI number?

The NPI number for Beaumont Family Practice Associates PA is 1629174891. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Southeast Texas Occupational Medicine.

Where is Beaumont Family Practice Associates PA located?

Beaumont Family Practice Associates PA is located at 6450 Folsom, Beaumont, TX 77706. The listed phone number is (409) 835-0524.

What is Beaumont Family Practice Associates PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Beaumont Family Practice Associates PA was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.