MEDICARE: PRO MED PROVIDERS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QU0200X	Urgent Care Clinic/Center
3	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
4	342000000X	Transportation Network Company
5	343800000X	Secured Medical Transport (VAN)
6	343900000X	Non-emergency Medical Transport (VAN)
7	347C00000X	Private Vehicle
8	347E00000X	Transportation Broker
9	363L00000X	Nurse Practitioner
10	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
11	261QM0850X	Adult Mental Health Clinic/Center
12	207P00000X	Emergency Medicine Physician
13	261QC1500X	Community Health Clinic/Center
14	261QH0100X	Health Service Clinic/Center
15	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1972930840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO MED PROVIDERS LLC

Provider Business Mailing Address
First Line	:	8599 9TH AVE
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-8023
Country	:	US
Telephone Number	:	409-983-7711
Fax Number	:	409-985-5233

Provider Business Practice Location Address
First Line	:	8599 9TH AVE
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-8023
Country	:	US
Telephone Number	:	409-983-7711
Fax Number	:	409-985-5233

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. REGINALD SAVOIE
Credential	:	DNP-C
Telephone Number	:	409-983-7711

Provider Enumeration Date	:	10/08/2013
Last Update Date	:	07/24/2024

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