Ut Physicians Specialty Services

NPI #1669909495 in Beaumont, Texas

Provider Information

NPI Number: 1669909495
Entity Type: Organization
Organization Name: Ut Physicians Specialty Services
Primary Specialty: Pediatrics
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 3610 STAGG DR
City: Beaumont
State: Texas
ZIP Code: 77701-3713
Phone: (409) 730-4700

Authorized Official

Name: ANDREW R CASAS
Title: CHIEF OPERATING OFFICER
Phone: (832) 325-7325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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