OrganizationActive
Greater Beaumont Oral & Maxillofacial Surgery, PA
NPI 1790199461 · Oral and Maxillofacial Surgery Clinic/Center · Beaumont, TX
Provider details
- NPI number
- 1790199461
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Prashanth Ravi, Director(231) 392-2500
- License
- 29763 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2929 Calder St Ste 302
Beaumont, TX 77702-1831
Phone: (409) 832-2532
Fax: (409) 832-3055
Approximate (ZIP-level) locationGet directions
Mailing address
2929 Calder St Ste 302
Beaumont, TX 77702-1831
Registry dates
- Enumerated
- 2014-06-20
- Last updated
- 2014-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.