Beaumont Retina Consultant PA

NPI #1114108677 in Beaumont, Texas

Provider Information

NPI Number: 1114108677
Entity Type: Organization
Organization Name: Beaumont Retina Consultant PA
Primary Specialty: Ophthalmology
Enumeration Date: Nov 26, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 740 HOSPITAL DR
Address 2: SUITE 200
City: Beaumont
State: Texas
ZIP Code: 77701-4664
Phone: (409) 832-8883

Authorized Official

Name: DR. GRAHAM DOUGLAS AVERY, MD
Title: OWNER
Phone: (409) 832-8883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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