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Organization

EXCEPTIONAL H C PORT ARTHUR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAEED S MAHBOUBI (CFO)
(469) 341-7800
Entity
Organization

Contact information

Practice address
3330 FM 365, PORT ARTHUR, TX 77642-7705
(469) 341-7800
Mailing address
1100 S AKARD ST, DALLAS, TX 75215-1003
(469) 341-7800

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Enumeration date
09/13/2019
Last updated
07/23/2020
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