Organization
IOM OPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY DAVID DUBOSE C.N.I.M. (FOUNDER)
(409) 749-0200
Entity
Organization
Contact information
Practice address
1750 E BLUE STEM, BEAUMONT, TX 77713-5606
(409) 782-1987
(409) 554-4253
Mailing address
PO BOX 20514, BEAUMONT, TX 77720-0514
(409) 782-1987
(409) 554-4253
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
03/05/2020
Last updated
04/23/2025
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