| Organization Name: | PORT ARTHUR DAY SURGERY CENTER LTD |
| NPI Number: | 1013089127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN A ICETON (CHAIRMAN) |
| Mailing Address: | 3449 Gates Boulevard Port Arthur |
| State: | TX US |
| Postal Code: | 77642 |
| Phone Number: | 4099836144 |
| Fax Number: | 4099832739 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 000155 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |