Organization
BEAUMONT NEUROSURGICAL SPINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B. CLARK III M.D. (PHYSICIAN)
(409) 899-4999
Entity
Organization
Contact information
Practice address
6025 METROPOLITAN DR, SUITE 205, BEAUMONT, TX 77706-2408
(409) 899-4999
(409) 899-3978
Mailing address
6025 METROPOLITAN DR, SUITE 205, BEAUMONT, TX 77706-2408
(409) 899-4999
(409) 899-3978
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/09/2008
Last updated
03/05/2015
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