4500 Gulfway Medical Management Pa in Port Arthur - Physician Assistant
4500 Gulfway Medical Management Pa - NPI 1326100439
4500 Gulfway Medical Management Pa is a Physician Assistant in Port Arthur, Texas. 4500 Gulfway Medical Management Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for 4500 Gulfway Medical Management Pa is 1326100439. The last update date is 2007-10-29.
4500 Gulfway Medical Management Pa's current location address is Po Box 3756, Port Arthur, Texas. You can contact this provider via phone number 4099825110 and fax number 4099828196. The mailing address for 4500 Gulfway Medical Management Pa is Po Box 3756, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 4500 Gulfway Medical Management Pa |
|---|---|
| Address | Po Box 3756, Port Arthur, Texas |
| Phone Number | 4099825110 |
| Fax Number | 4099828196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Anabtawi Nazmi Isam |
| Credentials | MD |
| Telephone Number | 4099825110 |
NPI Number Detail
| NPI Number | 1326100439 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | Po Box 3756 |
|---|---|
| City | Port Arthur |
| State | Texas (TX) |
| Post Code | 77643 |
| Phone Number | 4099825110 |
| Fax Number | 4099828196 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | D5588 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to 4500 Gulfway Medical Management Pa by the Centers for Medicare & Medicaid Services?
The 4500 Gulfway Medical Management Pa has been assigned the NPI (National Provider Identifier) 1326100439. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to 4500 Gulfway Medical Management Pa by the Centers for Medicare & Medicaid Services?
The 4500 Gulfway Medical Management Pa has been assigned the NPI (National Provider Identifier) 1326100439 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where 4500 Gulfway Medical Management Pa's facilities are situated?
The facilities of 4500 Gulfway Medical Management Pa are physically located at the following address: Po Box 3756, Port Arthur, TX, 77643.
What is 4500 Gulfway Medical Management Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The 4500 Gulfway Medical Management Pa's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1326100439 assigned to 4500 Gulfway Medical Management Pa?
The 4500 Gulfway Medical Management Pa was issued its 1326100439 on 2006-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.