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Ut Physicians Specialty Services

Pediatrics in Beaumont, TX. Organization (NPI-2).

NPI number1669909495
StatusActive
Last updated in NPPESMay 11, 2017

Details

NPI
1669909495
Entity type
Organization (NPI-2)
Legal business name
Ut Physicians Specialty Services
Organization subpart
No
Enumeration date
May 11, 2017
Last updated
May 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Other names

  • Utpss Beaumont Thsteps (Doing Business As)

Practice location

3610 Stagg Dr
Beaumont, TX 77701-3713

Phone 409-730-4700

Mailing address

Po Box 301448
Dallas, TX 75303-1448

Authorized official

Andrew R Casas
Chief Operating Officer
8323257325

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