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SOUTHEAST TEXAS MEDICAL ASSOCIATES NPI 1710970066


NPI Information

NPI: 1710970066
Provider Name: SOUTHEAST TEXAS MEDICAL ASSOCIATES

Doing Business As: GULF COAST DIAGNOSTIC SERVICES

Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
2929 CALDER ST
SUITE 100
BEAUMONT, TX
ZIP 77702
Phone: (409) 233-9797
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SOUTHEAST TEXAS MEDICAL ASSOCIATES is a portable x ray and or other portable diagnostic imaging supplier in Beaumont, TX. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. SOUTHEAST TEXAS MEDICAL ASSOCIATES NPI is 1710970066. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Coast Diagnostic Services.

The provider's business location address is:

2929 CALDER ST
SUITE 100
BEAUMONT, TX
ZIP 77702-845
Phone: (409) 233-9797
Fax: (409) 839-3174

The provider's authorized official is Richard Bryant .
The authorized official title is Chief Operations Officer and has the following contact phone number (409) 833-9797.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 11/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierR25266TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19540801MEDICAIDTEXAS
2690009531MEDICARE PINTEXAS
3630001502MEDICARE PINTEXAS
4459881MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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