Reliant Physicians Of Southeast Texas PLLC
General Acute Care Hospital in Beaumont, TX. Organization (NPI-2).
NPI number1417399080
StatusActive
Last updated in NPPESDec 18, 2013
Details
- NPI
- 1417399080
- Entity type
- Organization (NPI-2)
- Legal business name
- Reliant Physicians Of Southeast Texas PLLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2013
- Last updated
- Dec 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 208m00000x | TX | Yes |
Practice location
3070 College StreetSuite 401
Beaumont, TX 77701
Phone 409-212-1533
Mailing address
3070 College StSuite 401
Beaumont, TX 77701-4691
Phone 409-212-1533
Authorized official
Earle Stephen Thornhill
MD
4092121533
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