Organization
BEAUMONT PLASTIC SURGERY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN WALLACE BECKERT M.D. (PRESIDENT)
(409) 892-6015
Entity
Organization
Contact information
Practice address
755 N 11TH ST, SUITE P3500, BEAUMONT, TX 77702-1500
(409) 892-6015
(409) 899-1338
Mailing address
755 N 11TH ST, SUITE P3500, BEAUMONT, TX 77702-1500
(409) 892-6015
(409) 899-1338
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L9621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068LW
BCBS
TX
Enumeration date
11/15/2007
Last updated
11/15/2007
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