SOUTHEAST TEXAS BARIATRIC CENTER LLC NPI 1811010457

NPI Information

NPI: 1811010457
Provider Name: SOUTHEAST TEXAS BARIATRIC CENTER, LLC

Doing Business As: SOUTHEAST TEXAS BARIATRIC CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3050 LIBERTY ST
BEAUMONT, TX
ZIP 77702
Phone: (409) 832-0092
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SOUTHEAST TEXAS BARIATRIC CENTER, LLC is an ambulatory surgical clinic center in Beaumont, TX. SOUTHEAST TEXAS BARIATRIC CENTER, LLC NPI is 1811010457. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Texas Bariatric Center.

The provider's business location address is:

3050 LIBERTY ST
BEAUMONT, TX
ZIP 77702-801
Phone: (409) 832-0092
Fax: (409) 923-1909

The provider's authorized official is Tamara Rene Anderud .
The authorized official title is Asc Administrator and has the following contact phone number (409) 839-5678.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	PENDING	TEXAS	Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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