Organization
SOUTHEAST TEXAS OB GYN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN MCAULIFFE (PRACTICE MANAGER)
(409) 899-1499
Entity
Organization
Contact information
Practice address
755 N 11TH ST, STE # P4200, BEAUMONT, TX 77702-1501
(409) 899-1499
(409) 899-1354
Mailing address
755 N 11TH ST, STE # P4200, BEAUMONT, TX 77702-1501
(409) 899-1499
(409) 899-1354
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085244401
—
TX
01
—
45D0959181
CLIA
TX
01
—
CE8392
GROUP RAIL ROAD MEDICARE
TX
Enumeration date
03/08/2007
Last updated
04/25/2016
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