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Jessica Black is one of 51 physician assistants practicing in Beaumont, Texas .
Jessica Black practices with Legacy Community Health Services, Inc.
Registry record (NPPES)
NPI
1699178582
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
450 N 11th St Beaumont, TX 77702-1804 (832) 548-5000
Enumerated
Oct 6, 2014
Record last updated
May 24, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
450 N 11th St
Beaumont , TX 77702
(409) 242-2577
6441 High Star Dr
Houston , TX 77074
(832) 548-5300
More physician assistants in Beaumont
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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