Organization
BRENT MAINWARING MD PA
Active
Other names
THE ODC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT LEE MAINWARING M.D. (M.D.)
(409) 832-2211
Entity
Organization
Contact information
Practice address
3405 COLLEGE ST, BEAUMONT, TX 77701
(409) 832-2211
(409) 515-1117
Mailing address
3405 COLLEGE ST, BEAUMONT, TX 77701-4613
(409) 832-2211
(409) 515-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H7781
TX
Other
Enumeration date
08/01/2011
Last updated
06/13/2018
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