| Port Arthur Cardiac Cath Lab, Lp | |
|
3919 N Twin City Hwy Port Arthur TX 77642-2118 | |
| (409) 984-7090 | |
| (409) 984-7099 |
| Full Name | Port Arthur Cardiac Cath Lab, Lp |
|---|---|
| Speciality | Clinic/Center |
| Location | 3919 N Twin City Hwy, Port Arthur, Texas |
| Authorized Official Name and Position | Kelly Marie Bemis (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8585045667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Arthur Cardiac Cath Lab, Lp Dept# 3009, Po Box 4417 Houston TX 77210-4417 Ph: (610) 644-8900 | Port Arthur Cardiac Cath Lab, Lp 3919 N Twin City Hwy Port Arthur TX 77642-2118 Ph: (409) 984-7090 |
| NPI Number | 1245462258 |
|---|---|
| Provider Enumeration Date | 08/10/2009 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 8426196999 |
|---|---|
| Medicare Enrollment ID | O20091104000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245462258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mohammed A Islam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255330569 PECOS PAC ID: 6103728852 Enrollment ID: I20040122001136 |
| Provider Name | Dia A Abochamh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417952029 PECOS PAC ID: 6507834207 Enrollment ID: I20040921000445 |
| Provider Name | Nabeel Abdullah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952306565 PECOS PAC ID: 3274671748 Enrollment ID: I20091210000220 |
| Provider Name | Pradip J Morbia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396740239 PECOS PAC ID: 0547163024 Enrollment ID: I20100621000656 |
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