| Organization Name: | GOLDEN TRIANGLE EMERGENCY SERVICES PORT ARTHUR |
| NPI Number: | 1023484912 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOM VO (MANAGER) |
| Mailing Address: | 8035 Memorial Blvd Port Arthur |
| State: | TX US |
| Postal Code: | 776407002 |
| Phone Number: | 4092375870 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2015 |
| NPI Last Update Date: | 08/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |