STANDARD MEDICAL CLINIC, PA – NPI #1316096647
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

STANDARD MEDICAL CLINIC, PA is a provider located in PORT ARTHUR, TX. NPPES has assigned the NPI number 1316096647 to STANDARD MEDICAL CLINIC, PA on January 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Mar 04, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STANDARD MEDICAL CLINIC, PA below.

NPI Profile for
STANDARD MEDICAL CLINIC, PA

NPI Number
1316096647
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STANDARD MEDICAL CLINIC, PA
Primary location
8333 9TH AVE.,
SUITE A
PORT ARTHUR, TX 77642-8151
Phone: (409) 727-2808 Fax:
3 Other location(s):
810 Hospital Dr Ste 320
Beaumont, TX 77701-4655
Phone: (409) 833-2266
Fax: (409) 727-5933
190 Strickland Dr
Orange, TX 77630-4748
Phone: (409) 920-4037
Fax: (409) 727-5933
3712 Gulfway Dr
Port Arthur, TX 77642-2828
Phone: (409) 332-4300
Fax: (409) 727-5933
Mailing address
8333 9TH AVE STE A
PORT ARTHUR, TX 77642-8151
Phone: (409) 727-2808 Fax: (409) 727-5933
Organization Subpart
No
Authorized Official
BOBBY MAYOR
COO ADMINISTRATOR
Phone: (409) 293-9125
Updated
Certification Date
Mar 04, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for STANDARD MEDICAL CLINIC, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS PROV NO.TX8937M0
otherMEDICARE GROUP PTANTX00358Y
otherSTATE LICENSETXK0026
medicaidTX172115101
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.