Provider Demographics
NPI:1134776818
Name:TROPICAL HEALTH CARE PLLC
Entity type:Organization
Organization Name:TROPICAL HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAUFERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:264-931-6955
Mailing Address - Street 1:413 E RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ISABEL
Mailing Address - State:TX
Mailing Address - Zip Code:78578-4133
Mailing Address - Country:US
Mailing Address - Phone:956-202-0111
Mailing Address - Fax:
Practice Address - Street 1:413 E RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:PORT ISABEL
Practice Address - State:TX
Practice Address - Zip Code:78578-4133
Practice Address - Country:US
Practice Address - Phone:956-202-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX321568304Medicaid
TX3215683-04Medicaid