PORT ARTHUR CARDIAC CATH LAB, LP (NPI# 1245462258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245462258 |
| Entity Type | Organization |
| Organization Name | PORT ARTHUR CARDIAC CATH LAB, LP |
| Other Organization Name | GULF COAST CATH LAB |
| Practice Address |
3919 N Twin City Hwy Port Arthur TX 77642-7764 |
| Mailing Address |
3921 N Twin City Hwy Suite A Port Arthur TX 77642-2118 |
| Practice Telephone | 4099847099 |
| Mailing Telephone | 7138127586 |
| Mailing Fax Number | 7138127594 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | MR. JEFFREY SNODGRASS (PRESIDENT) |
| Authorized Official Telephone | 8449132602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gulf Coast Cath Lab | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3921 N Twin City Hwy, Suite A, Port Arthur, TX 776422118 | 7138127586 | 7138127594 |
| Street Address |
3919 N TWIN CITY HWY |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-7764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
Please comment or provide details below to improve the information on PORT ARTHUR CARDIAC CATH LAB, LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.