Organization
ABC SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA EVANS (CREDENTIALING PERSONAL)
(573) 944-3604
Entity
Organization
Contact information
Practice address
6 TWIN CIRCLE DR, BEAUMONT, TX 77706-5304
(409) 781-2747
Mailing address
6 TWIN CIRCLE DR, BEAUMONT, TX 77706-5304
(409) 781-2747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up