Organization
BEAUMONT ASC, LP
Active
Other names
Beaumont Heart & Vascular Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE BEMIS (AUTHORIZED OFFICIAL)
(858) 722-2358
Entity
Organization
Contact information
Practice address
755 N 11TH ST, SUITE P3970B, BEAUMONT, TX 77702-1500
(409) 924-3996
(409) 924-3916
Mailing address
DEPT# 6011, PO BOX 4417, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
11/09/2023
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