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Contact Information

GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
2929 CALDER ST STE 302
BEAUMONT, TX77702-1831
 Phone: 409-832-2532
 Fax: 409-832-3055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA

NPI # 1790199461
LBN Legal business name GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
Authorized official PRASHANTH RAVI - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2014
Last updated 08/06/2014 - About 12 years ago
Identifiers
TX License # 29763
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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