| NPI | 1104040153 |
|---|---|
| Doing Business As | BEAUMONT PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | LEE ANN ODOM President Shared Services 947-522-3326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-10-01 |