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NPI Code Detail

MEDICARE: GENESIS HEALTHCARE ASSOCIATES PLLC

MEDICARE: GENESIS HEALTHCARE ASSOCIATES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1538937040
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS HEALTHCARE ASSOCIATES PLLC
Provider Business Mailing Address
First Line : 2770 AERO DR STE 3
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-1519
Country : US
Telephone Number : 409-237-5133
Fax Number : 409-237-5162
Provider Business Practice Location Address
First Line : 2770 AERO DR STE 3
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-1519
Country : US
Telephone Number : 409-237-5133
Fax Number : 409-237-5162
Authorized Official
Title or Position : NURSE PRACTITIONER/EMPLOYEE
Name : MRS. PHUONG T TRAN
Credential : NP
Telephone Number : 409-237-5133
Provider Enumeration Date : 12/13/2023
Last Update Date : 04/07/2026

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Directions to “GENESIS HEALTHCARE ASSOCIATES PLLC ” Practice Location

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