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1023050341
BRENT LEE MAINWARING
BEAUMONT, TX
NPI
1023050341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX H7781)
Enumeration Date
2006-06-12
Last Update Date
2011-07-14
Business Address
Dr. BRENT LEE MAINWARING M.D.
3405 COLLEGE ST
BEAUMONT, TX 77701-4613
Phone number: 409-832-2211
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Mailing Address
Dr. BRENT LEE MAINWARING M.D.
1129 MOORE RD
BEAUMONT, TX 77713-3918
Phone number: 409-656-6951
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