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Organization

SOUTHEAST TEXAS SELF-MANAGEMENT OF DIABETES

Active
Parent organization
ENDOCRINE CLINIC OF SOUTHEAST TEXAS
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENDOCRINE CLINIC OF SOUTHEAST TEXAS
Authorized official
ROBERT C HOOD MD (PRESIDENT)
(409) 835-9834
Entity
Organization

Contact information

Practice address
3030 NORTH ST STE 560, BEAUMONT, TX 77702-1424
(409) 835-9834
(409) 895-3547
Mailing address
3030 NORTH ST STE 560, BEAUMONT, TX 77702-1424
(409) 835-9834
(409) 895-3547

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
J4950
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085737702
TX
Enumeration date
08/17/2015
Last updated
08/17/2015
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