Organization
TOTAL CARE PORT ARTHUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THERIOT (REGIONAL DIRECTOR OF HEALTHCARE ADM)
(409) 792-5521
Entity
Organization
Contact information
Practice address
1650 TEXAS AVE STE E, BRIDGE CITY, TX 77611-3501
(409) 792-5521
(409) 792-5523
Mailing address
1650 TEXAS AVE STE E, BRIDGE CITY, TX 77611-3501
(833) 698-6825
(409) 792-5523
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
06/11/2024
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