Beaumont Spine Associates
Physical Medicine & Rehabilitation in Beaumont, TX. Organization (NPI-2).
NPI number1710308358
StatusActive
Last updated in NPPESJun 16, 2014
Details
- NPI
- 1710308358
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaumont Spine Associates
- Organization subpart
- No
- Enumeration date
- Dec 28, 2013
- Last updated
- Jun 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – |
Practice location
3820 Pointe PkwyBeaumont, TX 77706-2000
Phone 409-767-8221 · Fax 409-785-4200
Mailing address
3820 Pointe PkwyBeaumont, TX 77706-2000
Phone 409-767-8221 · Fax 409-785-4200
Authorized official
Juanitta Francis
Administrator
7132031645
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