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Permian Premier Health Services INC

Clinical Medical Laboratory in Beaumont, TX. Organization (NPI-2).

NPI number1982169603
StatusActive
Last updated in NPPESFeb 6, 2019

Details

NPI
1982169603
Entity type
Organization (NPI-2)
Legal business name
Permian Premier Health Services INC
Organization subpart
No
Enumeration date
Feb 6, 2019
Last updated
Feb 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Other names

  • Steward Medical Group Of Texas (Doing Business As)

Practice location

2929 Calder St Ste 100
Beaumont, TX 77702-1841

Phone 409-833-9797 · Fax 409-839-3174

Mailing address

Po Box 277719
Atlanta, GA 30384-7719

Phone 866-243-7108

Authorized official

Jonathan A Demke
Ceo
6154671072

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