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Organization
SOUTHEAST TEXAS MEDICAL ASSOCIATES, LLP
Active
Organization
SOUTHEAST TEXAS MEDICAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. HOLLY M.D. (CHIEF EXECUTIVE OFFICER)
(409) 833-9797
Entity
Organization
Contact information
Practice address
2929 CALDER ST, STE 100, BEAUMONT, TX 77702-1841
(409) 833-9797
(409) 654-6906
Mailing address
2929 CALDER ST, SUITE 100, BEAUMONT, TX 77702-1845
(409) 833-9797
(409) 654-6886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
00R45W
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084789901
—
TX
Enumeration date
05/31/2005
Last updated
08/26/2016
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