Organization
SOUTHEAST TEXAS BARIATRIC CENTER, LLC
Active
Other names
Southeast Texas Bariatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA RENE ANDERUD RN, BSN, CNOR (ASC ADMINISTRATOR)
(409) 839-5678
Entity
Organization
Contact information
Practice address
3050 LIBERTY ST, BEAUMONT, TX 77702-1801
(409) 832-0092
(409) 923-1909
Mailing address
3050 LIBERTY ST, BEAUMONT, TX 77702-1801
(409) 832-0092
(409) 923-1909
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
TX
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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