Provider Demographics
NPI:1376870840
Name:SOUTHEAST TEXAS MEDICAL VENTURES, LLC
Entity type:Organization
Organization Name:SOUTHEAST TEXAS MEDICAL VENTURES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CNO/COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-369-9001
Mailing Address - Street 1:1475 FM 1960 BYPASS RD E
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3909
Mailing Address - Country:US
Mailing Address - Phone:281-369-9001
Mailing Address - Fax:281-540-9922
Practice Address - Street 1:1475 FM 1960 BYPASS RD E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3909
Practice Address - Country:US
Practice Address - Phone:281-369-9001
Practice Address - Fax:713-532-7399
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TMH HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-04
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X, 261QM1200X
TX100396282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)