Organization Active NPI

Beaumont Recovery and Consulting, Inc.

  • Rehabilitation Chiropractor
  • Beaumont, TX
National Provider Identifier
1053825935
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
BEAUMONT RECOVERY AND CONSULTING, INC.
Practice address
3302 McFaddin St Ste 3
Beaumont, TX 77706-5038
Phone
(281) 989-9419
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Anthony R. Sueing Sr.
Title
Ceo
Phone
(281) 989-9419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

3302 McFaddin St Ste 3
Beaumont, TX 77706-5038

Mailing address

2143 Hawthorne Brook LN
Fresno, TX 77545-6080
Phone (281) 989-9419

Other identifiers 1

IdentifierTypeStateIssuer
1568843472OtherTXPHYSICAL REHAB

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1053825935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 HAWTHORNE BROOK LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775456080",
            "telephone_number": "281-989-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 MCFADDIN ST STE 3",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065038",
            "telephone_number": "281-989-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT RECOVERY AND CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "SUEING",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-989-9419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL REHAB",
            "identifier": "1568843472",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.