Individual provider · Type 1 NPI

Brent Lee Mainwaring, MD

Specialist · Beaumont, TX

NPI number 1023050341 Active

Practice location

3405 College St
Beaumont, TX 77701-4613

Mailing address

1129 Moore Rd
Beaumont, TX 77713-3918

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XH7781 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023050341

Brent Lee Mainwaring, MD's National Provider Identifier is 1023050341, issued on Jun 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaumont, TX. The record was last updated on Jul 14, 2011.