Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHELBY ODELL CHURCH JR., PA-C

Active Sole Proprietor

MR. SHELBY ODELL CHURCH JR., PA-C is a Medical Physician Assistant healthcare provider located in BEAUMONT, Texas. NPI 1942365564 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BEAUMONT, TX

Registration Details

NPI Number: 1942365564
Provider Type: Individual
Gender: Male
NPI Issued: Dec 26, 2006 (19.648101021277 yrs)
Last Updated: Sep 7, 2022
License: PA01919 (TX)
Sole Proprietor: Yes

Practice Information

Address: 6450 FOLSOM DR

BEAUMONT FAMILY PRACTICE ASSOCIATES

BEAUMONT, TX, 777067269
Browse TX providers · Browse ZIP 77706
Phone: 4098350524
Fax: 4098332058
Primary Specialty: Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BEAUMONT, TX

Name	Credential	NPI
MARY ELIZABETH RYAN	PA	1508884362
JANE LESKIN WALSTON	PA-C	1679625149
KATHERINE DEMERITT	P.A.	1093852048
KATIE GRANGER SWANTON	PA-C	1952568909
MRS. AUDREY HELEN REYENGA	P.A.	1972833085
BRENDAN ANDREW DUNLAP	PA-C	1336493055

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.