GOLDEN TRIANGLE CANCER CENTER LLC


Address: 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002
Phone: 4093383007

GOLDEN TRIANGLE CANCER CENTER LLC (NPI# 1639538655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639538655
Entity Type Organization
Organization Name GOLDEN TRIANGLE CANCER CENTER LLC
Practice Address 2875 Jimmy Johnson Blvd
Suite 100
Port Arthur
TX 77640-2002
Practice Telephone 4093383007
Mailing Telephone 4093383007
Enumeration Date 2016-02-18
Last Update Date 2016-02-18
Authorized Official Name DR. TRIPTESH K CHAUDHURY (MANAGER)
Authorized Official Telephone 4093383007
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0203X Clinic/Center
Specialization: Oncology, Radiation
Ambulatory Health Care Facilities

Office Location

Street Address 2875 JIMMY JOHNSON BLVD
SUITE 100
City PORT ARTHUR
State TX
Zip Code 77640-2002

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Taxonomy Information

Taxonomy Code 261QX0203X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology, Radiation

Taxonomy Definition

Definition to come...

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Competitor

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City PORT ARTHUR
Zip Code 77640

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Dataset Information

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.

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