Organization
BEAUMONT FOOT SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MARK BRUYN DPM (PRESIDENT)
(409) 833-7465
Entity
Organization
Contact information
Practice address
450 NORTH 11TH STREET, BEAUMONT, TX 77702
(409) 833-7465
(409) 833-7719
Mailing address
450 NORTH 11TH STREET, BEAUMONT, TX 77702
(409) 833-7465
(409) 833-7719
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020228502
—
TX
Enumeration date
08/31/2006
Last updated
12/09/2009
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