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Organization
UT PHYSICIANS
Active
Organization
UT PHYSICIANS
Active
Other names
UTP BEAUMONT
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW 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 301173, DALLAS, TX 75303-1173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371898302
—
TX
Enumeration date
08/02/2017
Last updated
08/02/2017
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