Organization · NPI-2

Abc Surgical, LLC

Orthopaedic Surgery, Orthopaedic Surgery of the Spine · Beaumont, TX

NPI number1841810306

StatusActive

Last updated in NPPESApr 24, 2020

Details

NPI: 1841810306
Entity type: Organization (NPI-2)
Legal business name: Abc Surgical, LLC
Organization subpart: No
Enumeration date: Apr 24, 2020
Certification date: Apr 24, 2020
Last updated: Apr 24, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207XS0117X	Orthopaedic Surgery, Orthopaedic Surgery of the Spine	–	–	Yes
174400000X	Specialist	–	–
207R00000X	Internal Medicine	–	–
207X00000X	Orthopaedic Surgery	–	–
208VP0000X		–	–
208VP0014X	Pain Medicine, Interventional Pain Medicine	–	–
261Q00000X	Clinic/Center	–	–
261QP3300X	Clinic/Center, Pain	–	–

Practice location

6 Twin Circle Dr
Beaumont, TX 77706-5304

Phone 409-781-2747

Mailing address

6 Twin Circle Dr
Beaumont, TX 77706-5304

Phone 409-781-2747

Authorized official

Jessica Evans
Credentialing Personal
5739443604

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