Organization Name: | SOUTHEAST TEXAS PROFESSIONAL HEALTH CARE INC |
NPI Number: | 1245391259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEANN R RIVERS (CEO) |
Mailing Address: | 2533 Calder St Beaumont |
State: | TX US |
Postal Code: | 777021915 |
Phone Number: | 4092120205 |
Fax Number: | 4092120208 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 007934 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |