Organization
PORT ARTHUR DAY SURGERY CENTER LTD
Active
Other names
Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A ICETON MD (CHAIRMAN)
(409) 983-6144
Entity
Organization
Contact information
Practice address
3449 GATES BOULEVARD, PORT ARTHUR, TX 77642
(409) 983-6144
(409) 983-2739
Mailing address
PO BOX 3915, 3449 GATES BOULEVARD, PORT ARTHUR, TX 77642
(409) 983-6144
(409) 983-2739
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000155
TX
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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