La Costa Of Port Arthur Pa

LBN: La Costa Of Port Arthur Pa
La Costa Of Port Arthur Pa is an health care organization with primary practice located at 8035 Memorial Blvd , Port Arthur TX 77640-7002. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. La Costa Of Port Arthur Pa can be contacted via phone (972) 514-1689, or through Phan, Tien Dinh via phone (972) 514-1689.

Contact Information

Primary practice address
8035 Memorial Blvd Port Arthur TX 77640-7002
Phone: (972) 514-1689
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phan, Tien Dinh Doctor of Dental Medicine (DMD)
Phone: (972) 514-1689

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22334 Texas

Profile Details

NPI number 1942656509
LBN Legal business name La Costa Of Port Arthur Pa
DBA Doing business as
Authorized official Phan, Tien Dinh Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2016
Last updated Oct 4th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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