COLLEGE STREET MEDICAL GROUP, P.L.L.C.

BEAUMONT, TX
NPI1912233289
Entity TypeOrganization
Authorized ContactBODRE RISING
Provider/Owner
409-840-9300
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2009-10-21
Last Update Date2011-04-28
Business Address
COLLEGE STREET MEDICAL GROUP, P.L.L.C.
5755 COLLEGE ST
BEAUMONT, TX 77707-3518
Phone number: 409-840-9300
Mailing Address
COLLEGE STREET MEDICAL GROUP, P.L.L.C.
5755 COLLEGE ST
BEAUMONT, TX 77707-3518
Phone number: 409-840-9300
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