Organization
BEELER-MANSKE CLINIC, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SWAYAM PRAKASH M.D. (CHAIRMAN OF THE BOARD)
(409) 948-8521
Entity
Organization
Contact information
Practice address
7111 MEDICAL CENTER DRIVE, SUITE 200, TEXAS CITY, TX 77591-2546
(409) 948-8521
Mailing address
7111 MEDICAL CENTER DRIVE, SUITE 200, TEXAS CITY, TX 77591-2546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
Primary
—
TX
207RC0000X
Cardiovascular Disease Physician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP3196
RAILROAD MEDICARE
TX
Enumeration date
02/02/2006
Last updated
02/10/2020
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