Organization
DERMATHERAPY OF SOUTHEAST TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRENT C CAMERON FNP (MEMBER)
(409) 651-4695
Entity
Organization
Contact information
Practice address
730 N MAIN ST, SUITE A, LUMBERTON, TX 77657-7355
(409) 234-6677
(409) 351-3262
Mailing address
5350 OLD DOWLEN RD, #114, BEAUMONT, TX 77706-6620
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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