Organization
S E TEXAS PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASSAN EHDAIE MD (OWNER)
(409) 236-2096
Entity
Organization
Contact information
Practice address
755 N 11TH ST STE P2280, BEAUMONT, TX 77702-1525
(409) 835-0348
(409) 892-2760
Mailing address
755 N 11TH ST STE P2280, BEAUMONT, TX 77702-1525
(409) 236-2096
(409) 236-1612
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
03/15/2021
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