Organization
SPINDLETOP MHMR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE J SMITH (REIMBURSEMENT MANAGER)
(409) 839-1009
Entity
Organization
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
(409) 839-1066
Mailing address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
(409) 839-1066
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
NA
TX
251B00000X
Case Management Agency
—
TX
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130722504
—
TX
Enumeration date
12/18/2006
Last updated
12/05/2022
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