| Brain And Spine Center Of Southeast Texas, Pllc | |
|
755 S 11th St Ste 102 Beaumont TX 77701-3723 | |
| (409) 234-7088 | |
| (409) 892-8237 |
| Full Name | Brain And Spine Center Of Southeast Texas, Pllc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 755 S 11th St Ste 102, Beaumont, Texas |
| Authorized Official Name and Position | Erwin Lo (OWNER) |
| Authorized Official Contact | 4092347088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain And Spine Center Of Southeast Texas, Pllc 755 S 11th St Ste 102 Beaumont TX 77701-3723 Ph: (409) 234-7088 | Brain And Spine Center Of Southeast Texas, Pllc 755 S 11th St Ste 102 Beaumont TX 77701-3723 Ph: (409) 234-7088 |
| NPI Number | 1265865158 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 4587895727 |
|---|---|
| Medicare Enrollment ID | O20140401000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265865158 | NPI | - | NPPES |
| Provider Name | Hassan Chahadeh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1730124470 PECOS PAC ID: 4183510555 Enrollment ID: I20040419001380 |
| Provider Name | Don A Duplan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598763062 PECOS PAC ID: 0345151643 Enrollment ID: I20051227000555 |
| Provider Name | Sujin Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710987672 PECOS PAC ID: 6800922949 Enrollment ID: I20100329000616 |
| Provider Name | Erwin Lo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760482640 PECOS PAC ID: 1254467301 Enrollment ID: I20100329000651 |
| Provider Name | Arshad A Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114977907 PECOS PAC ID: 8022081603 Enrollment ID: I20190528000750 |
| Provider Name | Jihoon Choi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285097741 PECOS PAC ID: 8820380736 Enrollment ID: I20220706003725 |
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