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Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Organization
UT PHYSICIANS SPECIALTY SERVICES
Active
Other names
UTPSS BEAUMONT THSTEPS
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (CHIEF OPERATING OFFICER)
(832) 325-7325
Entity
Organization
Contact information
Practice address
3610 STAGG DR, BEAUMONT, TX 77701-3713
(409) 730-4700
Mailing address
PO BOX 301448, DALLAS, TX 75303-1448
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195996716
—
TX
Enumeration date
05/11/2017
Last updated
05/11/2017
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