NPI age
2 years
Enumerated 2024-01-30
● Active Type 2 · Organization
Beulah Family Clinic Professional Limited Liability Company
Beulah Family Clinic Professional Limited Liability Company is 1 of 1927 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moneke
Administrator
Last NPPES update
2024-06-28
Source: monthly bulk 2026-05
How this organization compares
Across 1927 active clinic/center providers in Texas.
NPI age
2 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-01Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1534-A N Hampton Road, Suite 100
Desoto, TX 751150073
Mailing address
1534a N Hampton Rd
Desoto, TX 751152302
Authorized official
Patrick Moneke
Administrator
📞 8173660950
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Beulah Medical Clinic
-
Beulah Medical Clinic
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.