Organization · NPI-2

Southeast Texas Inpatient Physician Associates

Hospitalist · Port Arthur, TX

NPI number1477986891
StatusActive
Last updated in NPPESAug 30, 2013

Details

NPI
1477986891
Entity type
Organization (NPI-2)
Legal business name
Southeast Texas Inpatient Physician Associates
Organization subpart
No
Enumeration date
Aug 21, 2013
Last updated
Aug 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistN0620TXYes

Practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Phone 409-724-7389

Mailing address

2400 Highway 365 Ste 205
Nederland, TX 77627-6250

Phone 409-722-1197

Authorized official

John K Badlissi
President
4097221197

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