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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | H7781 (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.