| NPI | 1629174891 |
|---|---|
| Doing Business As | SOUTHEAST TEXAS OCCUPATIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JAY C PROCTOR President/Owner 409-835-0524 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F1914) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-06-29 |