Ebony Beaudoin
Pediatric Emergency Doctor
6410 Fannin St Suite 500
Houston
, Texas 77030-3000
Ebony Beaudoin
Pediatric Emergency Doctor
6410 Fannin St Suite 500
Houston
, Texas 77030-3000
(713) 500-3500
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Ebony Beaudoin
- Po Box 201088
- Houston, TX
- Zip : 77216-1088
- Phone : (713) 500-3500
Second Address
- Ebony Beaudoin
- 6410 Fannin St Suite 500
- Houston, TX
- Zip : 77030-3000
- Fax : (713) 512-2227
- Phone : (832) 325-7111
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | M2203 | TX |
National Provider Identifier
| NPI | 1124053095 |
|---|---|
| Provider Name | Ebony Beaudoin |
| First Address | Houston, TX 77216-1088 |
| Second Address | Houston, TX 77030-3000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 05/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 176422501 | (05) | TX |
| 190090401 | (05) | TX |
| 8U5760 | BCBS (01) | TX |
| I38792 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.