4500 Gulfway Medical Management PA
NPI #1326100439 in Port Arthur, Texas
Provider Information
- NPI Number
- 1326100439
- Entity Type
- Organization
- Organization Name
- 4500 Gulfway Medical Management PA
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Oct 29, 2007
Practice Location
- Address
- 4500 GULFWAY DRIVE
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77642
- Phone
- (409) 982-5110
Authorized Official
- Name
- ISAM NAZMI ANABTAWI, MD
- Title
- DOCTOR
- Phone
- (409) 982-5110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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