Organization · Type 2 NPI

The Medical Center of Southeast Texas LP

Rehabilitation Hospital Unit · Port Arthur, TX

NPI number 1114006749 Active

Practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Fax (409) 853-5910

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Hospital Unit Primary	273Y00000X	None listed

Rehabilitation Hospital Unit: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets th…

47 other providers at this address

NPI record

NPI: 1114006749
Entity type: Organization (Type 2)
Issued: Nov 3, 2006
Last updated: Apr 3, 2018
Status: Active
Subpart: Yes of The Medical Center of Southeast Texas LP

Other names

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The Medical Center of Southeast Texas · doing business as

Authorized official

Richard D Gonzalez
Hospital CEO
(409) 724-7389

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114006749

The Medical Center of Southeast Texas LP's National Provider Identifier is 1114006749, issued on Nov 3, 2006. The primary taxonomy on file is Rehabilitation Hospital Unit (273Y00000X), and the practice location is in Port Arthur, TX. The record was last updated on Apr 3, 2018.