Southeast Texas Medical Inc.

NPI #1730182049 in Liberty, Texas

Provider Information

NPI Number: 1730182049
Entity Type: Organization
Organization Name: Southeast Texas Medical Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 31, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 2818B N MAIN ST
City: Liberty
State: Texas
ZIP Code: 77575-3911
Phone: (936) 336-8101

Authorized Official

Name: MRS. JUDY FONTENOT
Title: PRESIDENT
Phone: (936) 336-8101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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