TOTAL CARE MEDICAL, PLLC (NPI# 1811495575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811495575 |
| Entity Type | Organization |
| Organization Name | TOTAL CARE MEDICAL, PLLC |
| Practice Address |
8035 Memorial Blvd Ste B Port Arthur TX 77640 |
| Mailing Address |
1650 Texas Ave Ste E Bridge City TX 77611-3501 |
| Practice Telephone | 4093449277 |
| Practice Fax Number | 4093449355 |
| Mailing Telephone | 4097925521 |
| Mailing Fax Number | 4097925523 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | KYLE PERTERSON (MD) |
| Authorized Official Telephone | 4093449277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 S Prairie St Ste D, Dayton, TX 775352819 | 9362575037 | 9362575117 |
| 8035 Memorial Blvd Ste B, Port Arthur, TX 776407002 | 4093449277 | 4093449355 |
| Street Address |
8035 MEMORIAL BLVD STE B |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988289 | Kody Scruggs | Nurse Practitioner | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640-7002 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| 1093941544 | Lindsay Denice Shafer | Audiologist | 2501 Jimmy Johnson Blvd Ste 306, Port Arthur, TX 77640 | 2009-06-10 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245462258 | Port Arthur Cardiac Cath Lab, Lp | Clinic/Center | 3919 N Twin City Hwy, Port Arthur, TX 77642-7764 | 2009-08-10 |
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| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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| 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.