Organization Active NPI

The Medical Center of Southeast Texas LP

Doing business as The Medical Center of Southeast Texas

  • Rehabilitation Hospital Unit
  • Port Arthur, TX
National Provider Identifier
1114006749
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
THE MEDICAL CENTER OF SOUTHEAST TEXAS LP
Doing business as
The Medical Center of Southeast Texas
Practice address
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone
(409) 724-7389
Fax
(409) 853-5910
NPI assigned
Nov 3, 2006
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MEDICAL CENTER OF SOUTHEAST TEXAS LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard D Gonzalez
Title
Hospital Ceo
Phone
(409) 724-7389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Mailing address

2555 Jimmy Johnson Blvd
Attn: Billing
Port Arthur, TX 77640-2007
Phone (409) 724-7389

Other names 1

  • The Medical Center of Southeast Texas Doing business as

National Provider Directory

National Provider Directory
Part of
The Medical Center of Southeast Texas LP

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1114006749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "address_2": "ATTN: BILLING",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-724-7389",
            "fax_number": "409-853-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-724-7389",
            "fax_number": "409-853-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL CENTER OF SOUTHEAST TEXAS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEDICAL CENTER OF SOUTHEAST TEXAS LP",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "409-724-7389"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Center of Southeast Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.