Standard Medical Clinic, Pa

LBN: Standard Medical Clinic, Pa
Standard Medical Clinic, Pa is an health care organization with primary practice located at 8333 9Th Ave., Suite A, Port Arthur TX 77642-8151. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Standard Medical Clinic, Pa can be contacted via phone (409) 727-2808, or through Enriquez, Oscar Olfindo via phone (409) 727-2808.

Contact Information

Primary practice address
8333 9Th Ave., Suite A Port Arthur TX 77642-8151
Fax:
Website:
Authorized official contact:
Name: Enriquez, Oscar Olfindo Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1316096647
LBN Legal business name Standard Medical Clinic, Pa
DBA Doing business as
Authorized official Enriquez, Oscar Olfindo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Dec 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316096647 NPPES
Texas Other 00358Y MEDICARE GROUP PTAN
Texas Other K0026 MEDICARE GROUP PTAN
Texas Other 8937M0 MEDICARE GROUP PTAN
Texas MEDICAID 172115101 MEDICARE GROUP PTAN

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