# THE MEDICAL CENTER OF SOUTHEAST TEXAS LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE MEDICAL CENTER OF SOUTHEAST TEXAS LP
- **Other names:** The Medical Center of Southeast Texas
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114006749
- **Legal business name:** THE MEDICAL CENTER OF SOUTHEAST TEXAS LP
- **Authorized official:** RICHARD D GONZALEZ (HOSPITAL CEO)
- **Authorized official phone:** (409) 724-7389

## Contact information

- **Practice address:** 2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
- **Practice address phone:** (409) 724-7389
- **Practice address fax:** (409) 853-5910
- **Mailing address:** 2555 JIMMY JOHNSON BLVD, ATTN: BILLING, PORT ARTHUR, TX 77640-2007
- **Mailing address phone:** (409) 724-7389
- **Mailing address fax:** (409) 853-5910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 04/03/2018