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Organization
APOLLO PHYSICIAN OF TEXAS PA
Active
Organization
APOLLO PHYSICIAN OF TEXAS PA
Active
Other names
Apollo Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KIRK WILLIAMS MD (PRESIDENT)
(409) 724-7389
Entity
Organization
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 724-7389
Mailing address
PO BOX 8730, FORT WORTH, TX 76124-0730
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032MN
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/09/2006
Last updated
09/11/2025
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