Marchand, Nathan Russo

Marchand, Nathan Russo is an individual health care provider with primary practice located at 3030 North St Suite 430, Beaumont TX 77702-1433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marchand, Nathan Russo can be contacted via phone (409) 899-2500.

Contact Information

Primary practice address
3030 North St Suite 430 Beaumont TX 77702-1433
Phone: (409) 899-2500
Fax: (409) 898-7579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X M7400 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7400 Texas

Profile Details

NPI number 1114020708
LBN Legal business name Marchand, Nathan Russo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Dec 13th, 2018 - about 8 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114020708 NPPES
Texas MEDICAID 193326901

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