# NP CHILDREN'S HEALTHCARE CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598022410
- **Authorized official:** MRS. MARY D SOHOSKI APRN (FNP-BC/OWNER)
- **Authorized official phone:** (409) 982-0082

## Contact information

- **Practice address:** 3300 JIMMY JOHNSON BLVD STE 100, PORT ARTHUR, TX 77642-6306
- **Practice address phone:** (409) 982-0082
- **Practice address fax:** (409) 982-3641
- **Mailing address:** 3300 JIMMY JOHNSON BLVD STE 100, PORT ARTHUR, TX 77642-6306
- **Mailing address phone:** (409) 982-0082
- **Mailing address fax:** (409) 982-3641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 518239 | TX | Yes |

## Other

- **Enumeration date:** 04/16/2012
- **Last updated:** 06/12/2024