Organization
EASTEX ER 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM VO K9696 (MANAGER)
(713) 660-0557
Entity
Organization
Contact information
Practice address
5550 EASTEX FWY, BEAUMONT, TX 77708-5329
(713) 660-0555
Mailing address
5110 ASHBROOK DR STE B, HOUSTON, TX 77081-2942
(713) 660-0557
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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