Total Care Port Arthur Llc | |
1650 Texas Ave Ste E Bridge City TX 77611-3501 | |
(409) 792-5521 | |
(409) 792-5523 |
Full Name | Total Care Port Arthur Llc |
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Speciality | Clinic/Center |
Location | 1650 Texas Ave Ste E, Bridge City, Texas |
Authorized Official Name and Position | Jennifer Theriot (REGIONAL DIRECTOR OF HEALTHCARE ADM) |
Authorized Official Contact | 4097925521 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Care Port Arthur Llc 1650 Texas Ave Ste E Bridge City TX 77611-3501 Ph: (833) 698-6825 | Total Care Port Arthur Llc 1650 Texas Ave Ste E Bridge City TX 77611-3501 Ph: (409) 792-5521 |
NPI Number | 1770950388 |
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Provider Enumeration Date | 08/31/2015 |
Last Update Date | 06/11/2024 |
Medicare PECOS PAC ID | 6204136971 |
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Medicare Enrollment ID | O20151202000535 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770950388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Aaron Bellow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205931656 PECOS PAC ID: 3375527344 Enrollment ID: I20040616001115 |
Provider Name | Connie L Bowlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962657676 PECOS PAC ID: 3870650716 Enrollment ID: I20090320000446 |
Provider Name | Claire L Pollard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356571764 PECOS PAC ID: 0345395307 Enrollment ID: I20090827000590 |
Provider Name | Christion Gregory Rice |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346521853 PECOS PAC ID: 3870766439 Enrollment ID: I20111027000476 |
Provider Name | Jeffrey Craig Humphrey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447512843 PECOS PAC ID: 9638334972 Enrollment ID: I20120711000415 |
Provider Name | Kimberly F Byrum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003162454 PECOS PAC ID: 3678721610 Enrollment ID: I20120917000117 |
Provider Name | Lewis N Debarge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831448612 PECOS PAC ID: 5092963793 Enrollment ID: I20120921000794 |
Provider Name | Paul W Cormier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922423698 PECOS PAC ID: 2264655745 Enrollment ID: I20140602001939 |
Provider Name | Kaci L Cinnamon-burton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972917474 PECOS PAC ID: 1052530839 Enrollment ID: I20140909001531 |
Provider Name | Lindsay Mabe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437696606 PECOS PAC ID: 5395018014 Enrollment ID: I20170831001419 |
Provider Name | Elissa Michelle Jacobs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922507599 PECOS PAC ID: 1456615467 Enrollment ID: I20180427000846 |
Anand B. Movva, Md.,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2515 Texas Ave, Bridge City, TX 77611 Phone: 409-735-2486 Fax: 409-735-2487 | |
Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2162 Texas Ave, Bridge City, TX 77611 Phone: 409-735-7157 Fax: 409-735-7035 | |
Acorn Medical Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Texas Ave Ste G, Bridge City, TX 77611 Phone: 833-698-6825 Fax: 409-792-5523 | |
Golden Triangle Family Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 W Round Bunch Rd, Bridge City, TX 77611 Phone: 409-735-7305 Fax: 888-972-9401 | |
Your Medical Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Texas Ave Ste E, Bridge City, TX 77611 Phone: 833-698-6825 |