Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shelby Odell Church Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1942365564

Mr. Shelby Odell Church Jr., PA-C is a Medical Physician Assistant in Beaumont, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6450 Folsom Dr Beaumont Family Practice Associates
Beaumont, TX 77706-7269
Phone: (409) 835-0524
Fax: (409) 833-2058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01919 (TX)

Record details

NPI number1942365564
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 26, 2006
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

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