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Organization

TRIANGLE THERAPEUTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAUREEN TORIBIO PT (BOARD MEMBER)
(409) 982-8878
Entity
Organization

Contact information

Practice address
5957 9TH AVE, PORT ARTHUR, TX 77642-6204
(409) 982-8878
(409) 982-5119
Mailing address
5957 9TH AVE, PORT ARTHUR, TX 77642-6204
(409) 982-8878
(409) 982-5119

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0042HV
BLUE CROSS BLUE SHIELD
TX
01
200793800
TRICARE
TX
Enumeration date
07/17/2006
Last updated
09/29/2024
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