SILSBEE FAMILY MEDICINE PA NPI 1700075108

NPI Information

NPI: 1700075108
Provider Name: SILSBEE FAMILY MEDICINE, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D1010541

Address:
280 HIGHWAY 418 E
SILSBEE, TX
ZIP 77656
Phone: (409) 386-1200
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SILSBEE FAMILY MEDICINE, PA is a primary care clinic center in Silsbee, TX. SILSBEE FAMILY MEDICINE, PA NPI is 1700075108. The provider is registered as an organization entity type.

The provider's business location address is:

280 HIGHWAY 418 E
SILSBEE, TX
ZIP 77656-729
Phone: (409) 386-1200
Fax: (409) 386-1219

The provider's authorized official is Doyce Lee Cartrett .
The authorized official title is President and has the following contact phone number (409) 386-1200.

The CLIA number assigned to this NPI record is 45D1010541 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 1/18/2022.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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
1	156660601	MEDICAID	TEXAS
2	DA2075	OTHER	TEXAS	PALMETTO GBA
3	0028JV	OTHER	TEXAS	BCBS
4	DA 2075	OTHER	TEXAS	MEDICARE RR
5	2532675	OTHER		UNITED HEALTHCARE

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

NPI Synchronization or Removal

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