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
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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