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PRO MED PROVIDERS LLC NPI 1972930840


NPI Information

NPI: 1972930840
Provider Name: PRO MED PROVIDERS LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D0705268

Address:
8599 9TH AVE
PORT ARTHUR, TX
ZIP 77642
Phone: (409) 983-7711
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PRO MED PROVIDERS LLC is a clinic center in Port Arthur, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRO MED PROVIDERS LLC NPI is 1972930840. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8599 9TH AVE
PORT ARTHUR, TX
ZIP 77642-023
Phone: (409) 983-7711
Fax: (409) 985-5233

The provider's authorized official is Reginald Savoie .
The authorized official title is Managing Member and has the following contact phone number (409) 983-7711.

The CLIA number assigned to this NPI record is 45D0705268 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2013 and was last updated on 1/17/2024.


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
1207P00000XEmergency MedicineNo
2261QU0200XClinic/CenterUrgent CareNo
3342000000XTransportation Network CompanyNo
4343800000XSecured Medical Transport (VAN)No
5343900000XNon-emergency Medical Transport (VAN)No
6347C00000XPrivate VehicleNo
7347E00000XTransportation BrokerNo
8363L00000XNurse PractitionerNo
9261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.