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Organization
SOUTHEAST TEXAS MEDICAL ASSOCIATES
Active
Organization
SOUTHEAST TEXAS MEDICAL ASSOCIATES
Active
Other names
Gulf Coast Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BRYANT RN (CHIEF OPERATIONS OFFICER)
(409) 833-9797
Entity
Organization
Contact information
Practice address
2929 CALDER ST, SUITE 100, BEAUMONT, TX 77702-1845
(409) 233-9797
(409) 839-3174
Mailing address
2929 CALDER ST, SUITE 100, BEAUMONT, TX 77702-1845
(409) 833-9797
(409) 839-3174
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R25266
TX
Other
Enumeration date
08/23/2005
Last updated
11/08/2010
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