| Astronuat Swagg Llc | |
|
1110 Calder St Ste 130 Beaumont TX 77701-1777 | |
| (409) 225-8383 | |
| Not Available |
| Full Name | Astronuat Swagg Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1110 Calder St Ste 130, Beaumont, Texas |
| Authorized Official Name and Position | Courtney Jacobs (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4092258383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Astronuat Swagg Llc 2415 Avenue A Nederland TX 77627-6013 Ph: (409) 225-8383 | Astronuat Swagg Llc 1110 Calder St Ste 130 Beaumont TX 77701-1777 Ph: (409) 225-8383 |
| NPI Number | 1811711427 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811711427 | NPI | - | NPPES |
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