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1821012907
PROVISION IMAGING OF BEAUMONT
BEAUMONT, TX
NPI
1821012907
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Entity Type
Organization
Authorized Contact
ROBERT MATT TRENT
COO
405-842-7768
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
(Licence: TX R28589)
Enumeration Date
2006-07-26
Last Update Date
2020-08-22
Business Address
PROVISION IMAGING OF BEAUMONT
3980 DOWLEN RD
BEAUMONT, TX 77706-6847
Phone number: 409-898-1922
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Mailing Address
PROVISION IMAGING OF BEAUMONT
1601 NW EXPRESSWAY SUITE 1300
OKLAHOMA CITY, OK 73118
Phone number: 405-842-7768
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