| NPI | 1730530973 |
|---|---|
| Former Legal Business Name | CCMABT BEAUMONT |
| Entity Type | Organization |
| Authorized Contact | PAUL W HAYDON President 313-271-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-04-24 |