| The Medical Center Of Southeast Texas | |
|
2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 | |
| (409) 724-7389 | |
| (409) 853-5910 |
| Full Name | The Medical Center Of Southeast Texas |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2555 Jimmy Johnson Blvd, Port Arthur, Texas |
| Authorized Official Name and Position | Richard D Gonzalez (HOSPITAL CEO) |
| Authorized Official Contact | 4097247389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Medical Center Of Southeast Texas 2555 Jimmy Johnson Blvd Attn: Billing Port Arthur TX 77640-2007 Ph: (409) 724-7389 | The Medical Center Of Southeast Texas 2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 Ph: (409) 724-7389 |
| NPI Number | 1316026941 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 6204747504 |
|---|---|
| Medicare Enrollment ID | O20070227000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316026941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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Samaritan Counseling Center Of Southeast Texas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3747 Doctors Dr, Port Arthur, TX 77642 Phone: 409-983-7668 Fax: 409-983-4761 | |
Samaritan Counseling Center Of Southeast Texas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3747 Doctors Dr, Port Arthur, TX 77642 Phone: 409-983-7668 Fax: 409-983-4761 | |
Samaritan Counseling Center Of Southeast Texas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3747 Doctors Dr, Port Arthur, TX 77642 Phone: 409-983-7668 Fax: 409-983-4761 | |
Samaritan Counseling Center Of Southeast Texas Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7980 Anchor Dr Bldg 500, Port Arthur, TX 77642 Phone: 409-727-6400 Fax: 409-727-6403 | |
Marwan Purghol, M.d. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2001 9th Ave, Suite 201, Port Arthur, TX 77642 Phone: 409-729-6700 Fax: 409-729-6705 |