Organization
BEAUMONT CHRONIC PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN Q A WEBB JR. MD (MEDICAL DIRECTOR)
(409) 924-8600
Entity
Organization
Contact information
Practice address
5220 EASTEX FWY, BEAUMONT, TX 77708-5320
(409) 924-8600
(409) 924-8611
Mailing address
5220 EASTEX FWY, BEAUMONT, TX 77708-5320
(409) 924-8600
(409) 924-8611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDE3137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1241770
UNITED HEALTHCARE
TX
01
—
7772517
AETNA
TX
01
—
8AM940
BLUECROSS BLUESHIELD
TX
Enumeration date
08/24/2009
Last updated
08/24/2009
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