Southeast Texas Medical Associates, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHEAST TEXAS MEDICAL ASSOCIATES, LLP

Practice address

2929 Calder St
Ste 100
Beaumont, TX 77702-1841

Phone

(409) 833-9797

Fax

(409) 654-6906

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. James L. Holly, M.D.

Title

Chief Executive Officer

Phone

(409) 833-9797

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Marian M Chen-Hah, MD

  • Internal Medicine Physician
  • Orange, TX
  • NPI 1407963317
  NPD (past)
• Wilbur W Hah, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Orange, TX
  • NPI 1043327943
  NPD (past)
• Katherine Prichard Hyde, O.D.

  • Optometrist
  • Huntsville, TX
  • NPI 1407855232
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1922001312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021841",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "409-833-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "00R45W",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084789901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Texas Imaging LLP
• Southeast Texas Infectious Disease PLLC
• Southeast Texas Intensivists, PLLC
• Southeast Texas Medical Associates
• Southeast Texas Medical Associates
• Southeast Texas Mobility
• Southeast Texas OB GYN Associates PA
• Southeast Texas Optical, LLC
• Southeast Texas Phlebotomy Institute, Inc.
• Southeast Texas Professional Health Care Inc

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.