Organization
PAM SQUARED AT BEAUMONT, LLC
Active
Other names
PAM Rehabilitation Hospital of Beaumont
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
3340 PLAZA 10 DR, BEAUMONT, TX 77707-2551
(409) 835-0835
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
284300000X
Special Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367514201
—
TX
Enumeration date
03/08/2016
Last updated
02/06/2025
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