Individual
MR. MIN REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3129 COLLEGE ST, BEAUMONT, TX 77701-4660
(409) 838-3725
Mailing address
PO BOX 7160, BEAUMONT, TX 77726-7160
(409) 838-3725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M6850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186034801
—
TX
Enumeration date
05/31/2007
Last updated
10/31/2007
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