Organization
TRAHAN SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY GLENN TRAHAN RNFA (PRESIDENT)
(409) 673-1128
Entity
Organization
Contact information
Practice address
12050 WOODLAND CIR, BEAUMONT, TX 77705-6538
(409) 673-1128
Mailing address
12050 WOODLAND CIR, BEAUMONT, TX 77705-6538
(409) 673-1128
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
597248
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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