Organization
SOUTHEAST TEXAS MEDICAL ASSOCIATES
Active
Other names
Gulf Coast Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BRYANT RN (CHIEF OPERATIONS OFFICER)
(409) 833-9797
Entity
Organization
Contact information
Practice address
2929 CALDER ST, SUITE 100, BEAUMONT, TX 77702-1845
(409) 233-9797
(409) 839-3174
Mailing address
2929 CALDER ST, SUITE 100, BEAUMONT, TX 77702-1845
(409) 833-9797
(409) 839-3174
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R25266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9540801
—
TX
Enumeration date
08/23/2005
Last updated
11/08/2010
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