NPI age
19 years
Enumerated 2006-12-26
● Active
Type 1 · Individual
MR. Shelby Odell Church JR., PA-C
Church is 1 of 10 physician assistant providers in Beaumont and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
6450 Folsom Dr, Beaumont Family Practice Associates
Beaumont, TX 777067269
Mailing address
6450 Folsom Dr
Beaumont, TX 777067269
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.