Organization
MIDCOUNTY PAIN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C MCHUGH MD (PHYSICIAN/OWNER)
(507) 398-2067
Entity
Organization
Contact information
Practice address
3610 STAGG DR, BEAUMONT, TX 77701-3739
(409) 923-0012
(409) 291-8010
Mailing address
PO BOX 1245, PORT NECHES, TX 77651-1245
(507) 398-2067
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2493
STATELICENSE
TX
Enumeration date
11/21/2017
Last updated
07/16/2022
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