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Organization
EAST TEXAS THERAPY CENTERS, LLC
Active
Organization
EAST TEXAS THERAPY CENTERS, LLC
Active
Other names
Southeast Texas Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA L SQUIERS (VICE PRESIDENT)
(936) 633-6901
Entity
Organization
Contact information
Practice address
5925 PHELAN, SUITE 1-2, BEAUMONT, TX 77706
(409) 866-7147
(409) 866-7143
Mailing address
5925 PHELAN, SUITE 1-2, BEAUMONT, TX 77706
(409) 866-7147
(409) 866-7143
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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