# EAST TEXAS THERAPY CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Texas Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083658306
- **Authorized official:** MS. LAURA L SQUIERS (VICE PRESIDENT)
- **Authorized official phone:** (936) 633-6901

## Contact information

- **Practice address:** 5925 PHELAN, SUITE 1-2, BEAUMONT, TX 77706
- **Practice address phone:** (409) 866-7147
- **Practice address fax:** (409) 866-7143
- **Mailing address:** 5925 PHELAN, SUITE 1-2, BEAUMONT, TX 77706
- **Mailing address phone:** (409) 866-7147
- **Mailing address fax:** (409) 866-7143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 08/22/2020