Organization Active NPI

Total Care Port Arthur LLC

  • Urgent Care Clinic/Center
  • Bridge City, TX
National Provider Identifier
1770950388
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TOTAL CARE PORT ARTHUR LLC
Practice address
1650 Texas Ave Ste E
Bridge City, TX 77611-3501
Phone
(409) 792-5521
Fax
(409) 792-5523
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Jennifer Theriot
Title
Regional Director of Healthcare Adm
Phone
(409) 792-5521

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1650 Texas Ave Ste E
Bridge City, TX 77611-3501

Mailing address

1650 Texas Ave Ste E
Bridge City, TX 77611-3501
Phone (833) 698-6825

Other practice location 1

8035 Memorial Blvd
Suite B
Port Arthur, TX 77640
Phone (409) 670-5828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1770950388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE STE E",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113501",
            "telephone_number": "833-698-6825",
            "fax_number": "409-792-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE STE E",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113501",
            "telephone_number": "409-792-5521",
            "fax_number": "409-792-5523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8035 Memorial Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "77640",
            "country_code": "US",
            "telephone_number": "409-670-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL CARE PORT ARTHUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "THERIOT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF HEALTHCARE ADM",
        "authorized_official_telephone_number": "409-792-5521"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridge City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.