Southeast Texas Bariatric Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in TX

Legal business name

SOUTHEAST TEXAS BARIATRIC CENTER, LLC

Doing business as

Southeast Texas Bariatric Center

Practice address

3050 Liberty St
Beaumont, TX 77702-1801

Phone

(409) 832-0092

Fax

(409) 923-1909

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tamara Rene Anderud, RN, BSN, CNOR

Title

ASC Administrator

Phone

(409) 839-5678

Specialties & licenses 1

Addresses

Other names 1

• Southeast Texas Bariatric Center Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • Psychiatric Hospital Unit
  • Beaumont, TX
  • NPI 1104920412

  Member Of

  NPD member
• Christus Health Southeast Texas

  dba Christus Southeast Texas Family Practice Center - Jasper

  • Rural Health Clinic/Center
  • Jasper, TX
  • NPI 1528030285

  Member Of

  NPD member

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811010457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 LIBERTY ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021801",
            "telephone_number": "409-832-0092",
            "fax_number": "409-923-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 LIBERTY ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021801",
            "telephone_number": "409-832-0092",
            "fax_number": "409-923-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS BARIATRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERUD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "ASC ADMINISTRATOR",
        "authorized_official_telephone_number": "409-839-5678",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, CNOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Texas Bariatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South East Texas Cancer Center
• South Texas American Home Medical Supply (American Home Medical Supply)
• Southeast Emergency Physician Associates, P.a.
• Southeast Texas Anesthesia LLP
• Southeast Texas Assisting, Inc.
• Southeast Texas Cardiology Associates II LLP
• Southeast Texas Child Guidance Center, PLLC
• Southeast Texas Community Health Clinic
• Southeast Texas Counseling & Assessment Services, PLLC
• Southeast Texas Ear, Nose & Throat, LLP

• Ambulatory Surgical Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.