| South County Physical Therapy Inc. | |
|
6767 9th Ave, Port Arthur, TX 77642-6414 | |
| (409) 722-1485 | |
| (409) 722-1564 |
| Full Name | South County Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6767 9th Ave, Port Arthur, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881871861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 602170000 (Texas) | Secondary |
| 225100000X | Physical Therapist | 1103778 (Texas) | Primary |
| Provider Name | Mark A Culver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336367846 PECOS PAC ID: 6507918851 Enrollment ID: I20090716000540 |
| Provider Name | Gerardo Octavio Ruiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245687656 PECOS PAC ID: 5698037901 Enrollment ID: I20180327000882 |
| Mailing Address | Practice Location Address |
|---|---|
| South County Physical Therapy Inc. 6767 9th Ave, Port Arthur, TX 77642-6414 Ph: (409) 722-1485 | South County Physical Therapy Inc. 6767 9th Ave, Port Arthur, TX 77642-6414 Ph: (409) 722-1485 |
Dr. Dustin Kyle Craver, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5957 9th Ave, Port Arthur, TX 77642 Phone: 409-982-8878 Fax: 409-982-5119 | |
Josephine Evelyn Williamson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8700 9th Ave, Ste 103, Port Arthur, TX 77642 Phone: 409-722-5437 Fax: 409-722-5435 | |
Mrs. Bonnie Sayaphoumy Top, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 9th Ave, Suite D, Port Arthur, TX 77642 Phone: 409-729-8111 Fax: 409-729-8114 | |
Dr. Gerardo Octavio Ruiz, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6767 9th Ave, Port Arthur, TX 77642 Phone: 409-722-1485 | |
Mrs. Mary Joyce Cruz-manuel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 9th Ave, Suite D, Port Arthur, TX 77642 Phone: 409-729-8111 Fax: 409-729-8114 | |
Allen Edano, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5957 9th Ave, Port Arthur, TX 77642 Phone: 409-982-8878 Fax: 409-982-5119 | |
Dr. Mark Alexander Culver, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6767 9th Ave, Port Arthur, TX 77642 Phone: 409-722-1485 Fax: 409-985-6315 |