Utmb

NPI #1497105084 in Beaumont, Texas

Provider Information

NPI Number
1497105084
Entity Type
Organization
Organization Name
Utmb
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 15, 2016
Last Updated
Jun 15, 2016

Practice Location

Address
3060 FM 3514
Address 2
MEDICAL DEPARTMENT - MS. ADODO
State
Texas
ZIP Code
77705-7635
Phone
(409) 722-5255

Authorized Official

Name
MARK BARBER, D.O.
Title
MEDICAL DIRECTOR
Phone
(409) 722-5255

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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