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1093744187

NPI Code Detail

MEDICARE: BAPTIST HOSPITALS OF SOUTHEAST TEXAS

MEDICARE: BAPTIST HOSPITALS OF SOUTHEAST TEXAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	000389	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500012	OTHER	TX	MHHNP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	450346	OTHER	TX	WORKERSCOMP
6	HH0450	OTHER	TX	BLUE CROSS BLUE SHIELD TX
7	094148602	OTHER	TX	AMERIGROUP

General Provider Information

NPI Number	:	1093744187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST HOSPITALS OF SOUTHEAST TEXAS

Provider Business Mailing Address
First Line	:	P O BOX 974599
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75397-4599
Country	:	US
Telephone Number	:	409-212-6149
Fax Number	:	409-212-6063

Provider Business Practice Location Address
First Line	:	3080 COLLEGE ST
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4606
Country	:	US
Telephone Number	:	409-212-6149
Fax Number	:	409-212-6063

Authorized Official
Title or Position	:	CEO
Name	:	MR. JUSTIN DOSS
Credential	:
Telephone Number	:	409-212-5012

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/25/2025

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Directions to “BAPTIST HOSPITALS OF SOUTHEAST TEXAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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