# APOLLO PHYSICIAN OF TEXAS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apollo Emergency Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457300394
- **Authorized official:** ANTHONY KIRK WILLIAMS MD (PRESIDENT)
- **Authorized official phone:** (409) 724-7389

## Contact information

- **Practice address:** 2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
- **Practice address phone:** (409) 724-7389
- **Mailing address:** PO BOX 8730, FORT WORTH, TX 76124-0730
- **Mailing address phone:** (817) 451-4208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0032MN | BLUE CROSS BLUE SHIELD | TX |