| Blooming Lotus Llc | |
|
3560 Delaware St Ste 209 Beaumont TX 77706-3059 | |
| (409) 239-0971 | |
| (409) 292-2100 |
| Full Name | Blooming Lotus Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3560 Delaware St Ste 209, Beaumont, Texas |
| Authorized Official Name and Position | Jason Osei Mensah (OWNER) |
| Authorized Official Contact | 4092917616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Lotus Llc 3560 Delaware St Ste 207 Beaumont TX 77706-3059 Ph: (409) 291-7616 | Blooming Lotus Llc 3560 Delaware St Ste 209 Beaumont TX 77706-3059 Ph: (409) 239-0971 |
| NPI Number | 1093304925 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093304925 | NPI | - | NPPES |
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