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 |