Southeast Texas Internal Medicine, PA

NPI #1730155995 in Port Arthur, Texas

Provider Information

NPI Number: 1730155995
Entity Type: Organization
Organization Name: Southeast Texas Internal Medicine, PA
Primary Specialty: Internal Medicine
Enumeration Date: Feb 27, 2006
Last Updated: Jun 23, 2010

Practice Location

Address: 7980 ANCHOR DR
Address 2: BLDG. 400
City: Port Arthur
State: Texas
ZIP Code: 77642-8266
Phone: (409) 729-7030

Authorized Official

Name: DR. ANTHONY O. GAMBRAH, MD. FACP
Title: ATTENDING PHYSICIAN
Phone: (409) 729-7030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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