Texas Industrial Medical

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

TEXAS INDUSTRIAL MEDICAL

Practice address

1009 S Broadway St
La Porte, TX 77571-5327

Phone

(819) 414-1742

Fax

(281) 941-4692

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Suzanne Schafer Schafer, DO

Title

Medical Director

Phone

(281) 941-4174

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keeli Sue Darst, NP

  • Family Nurse Practitioner
  • La Porte, TX
  • NPI 1629665724
  NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1679180293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S BROADWAY ST",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775715327",
            "telephone_number": "819-414-1742",
            "fax_number": "281-941-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S BROADWAY ST",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775715327",
            "telephone_number": "819-414-1742",
            "fax_number": "281-941-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INDUSTRIAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "SCHAFER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-941-4174",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sr Sam
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• Surgical Assistants of South Texas
• Surgical First Assisting, LLC
• Texas Advanced DME
• Texas Unique Family Dental
• The Initiative for Change and Development
• Tito Thomas, PHARMD
• Toguchi Medical Services, PLLC
• Michele Lynn Tolpa, PT

• Occupational Medicine Clinic/Center in La Porte, TX
• Providers in La Porte, TX by specialty
• Occupational Medicine Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.