Organization
BEAUMONT SPINE PAIN AND SPORTS MEDICINCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SMESNY (CFO)
(832) 886-1900
Entity
Organization
Contact information
Practice address
5220 EASTEX FWY, BEAUMONT, TX 77708-5320
(409) 924-8600
Mailing address
5220 EASTEX FWY, BEAUMONT, TX 77708-5320
(409) 924-8600
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E3137
TX
Other
Enumeration date
06/01/2006
Last updated
08/22/2020
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