Organization
SOUTHEAST TEXAS EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA ANN BRIDGES (OFFICE & BILLING MANAGER)
(409) 898-4740
Entity
Organization
Contact information
Practice address
5055 BRAGG CIRCLE, BEAUMONT, TX 77705
(409) 898-4740
(409) 898-4753
Mailing address
PO BOX 12898, BEAUMONT, TX 77726
(409) 898-4740
(409) 898-4753
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
123026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148423001
—
SC
01
—
590015263
MCB RAILROAD
—
01
—
AMB604
BCBS
—
Enumeration date
05/24/2006
Last updated
05/28/2008
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