Organization
BEAUMONT NEPHROLOGY ASSOCIATES
Active
Other names
Beaumont Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
AMY S ANDERSON (OFFICE MANAGER)
(409) 212-9240
Entity
Organization
Contact information
Practice address
710 S 8TH ST STE A, BEAUMONT, TX 77701-4680
(409) 212-9240
(409) 212-9239
Mailing address
710 S 8TH ST STE A, BEAUMONT, TX 77701-4680
(409) 212-9240
(409) 212-9239
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0936379-01
—
TX
Enumeration date
08/23/2006
Last updated
10/11/2021
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