Black, Jorge Washington
Black, Jorge Washington is an sole proprietor health care provider with primary practice located at 2830 Calder St , Beaumont TX 77702-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Black, Jorge Washington can be contacted via phone (409) 892-7171.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q3336 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101235945 | Virginia |
Profile Details
| NPI number | 1518957471 |
|---|---|
| LBN Legal business name | Black, Jorge Washington |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jan 14th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518957471 | NPPES |
| Texas | MEDICAID | 1285016758 | |
| Texas | MEDICAID | 1518957471 |
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