NPI 1114006749
The Medical Center of Southeast Texas LP
Practice location
- Address
- 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
- Phone
- (409) 724-7389
- Fax
- (409) 853-5910
- Mailing address
- 2555 Jimmy Johnson Blvd Attn: Billing, Port Arthur, TX 77640-2007
Authorised official
- Name
- Richard D Gonzalez
- Title
- Hospital Ceo
- Phone
- (409) 724-7389
Registered specialties
Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1114006749
- Entity type
- Organization
- NPI issued
- 3 Nov 2006
- Record last updated
- 3 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.