Organization
BEAUMONT HOSPITAL HOLDINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D GONZALEZ (OFFICER)
(409) 724-7389
Entity
Organization
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 853-7389
(409) 853-5910
Mailing address
2555 JIMMY JOHNSON BLVD, ATTN: BILLING, PORT ARTHUR, TX 77640-2007
(409) 724-7389
(409) 853-5910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090106801
—
TX
05
—
090106802
—
TX
Enumeration date
07/14/2006
Last updated
04/03/2018
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