GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
NPI 1790199461
Clinic/Center - Oral and Maxillofacial Surgery in Beaumont, TX
- Organization
- Clinic/Center
- Oral and Maxillofacial Surgery
About GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
This page provides the complete NPI Profile along with additional information for Greater Beaumont Oral & Maxillofacial Surgery, Pa, a provider established in Beaumont, Texas operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1790199461 assigned on June 2014. The practitioner's primary taxonomy code is 261QS0112X with license number 29763 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Prashanth Ravi (Director)
- NPI
- 1790199461 Verify this NPI
- Provider Name
- GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
- Entity Type
- Organization
- Location Address
- 2929 CALDER ST STE 302 BEAUMONT, TX 77702
- Location Phone
- (409) 832-2532
- Location Fax
- (409) 832-3055
- Mailing Address
- 2929 CALDER ST STE 302 BEAUMONT, TX 77702
- Mailing Phone
- (409) 832-2532
- Mailing Fax
- (409) 832-3055
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-20-2014
- Last Update Date
- 08-06-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Oral and Maxillofacial Surgery
- Taxonomy Code
- 261QS0112X
- Type
- Ambulatory Health Care Facilities
- License No.
- 29763
- License State
- TX
- Taxonomy Description
- An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790199461, enumerated as an "organization" on June 20, 2014.
The provider is located at 2929 CALDER ST STE 302 BEAUMONT, TX 77702 and the phone number is (409) 832-2532.
Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.
