Southeast Texas Dermatology
LBN: Corium Ventures Pllc
Southeast Texas Dermatology is an health care organization with primary practice located at 8525 9Th Ave , Port Arthur TX 77642-8023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Corium Ventures Pllc can be contacted via phone (409) 729-2262, or through Patel, Amit via phone (409) 729-2262.
Contact Information
Primary practice address
8525 9Th Ave
Port Arthur TX 77642-8023
Phone: (409) 729-2262
Fax: (409) 729-2449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Q8995 | Texas |
Profile Details
| NPI number | 1770098261 |
|---|---|
| LBN Legal business name | Corium Ventures Pllc |
| DBA Doing business as | Southeast Texas Dermatology |
| Authorized official | Patel, Amit Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2017 |
| Last updated | Dec 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770098261 | NPPES |
| Texas | Other | 1346553120 | TYPE 1 NPI |
| Texas | Other | 802526676 | TYPE 1 NPI |
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