# SOUTHEAST TEXAS MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Coast Diagnostic Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710970066
- **Authorized official:** MR. RICHARD BRYANT RN (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (409) 833-9797

## Contact information

- **Practice address:** 2929 CALDER ST, SUITE 100, BEAUMONT, TX 77702-1845
- **Practice address phone:** (409) 233-9797
- **Practice address fax:** (409) 839-3174
- **Mailing address:** 2929 CALDER ST, SUITE 100, BEAUMONT, TX 77702-1845
- **Mailing address phone:** (409) 833-9797
- **Mailing address fax:** (409) 839-3174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | R25266 | TX | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 11/08/2010