Organization
PORT ARTHUR EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S SCHILLINGER MD (MANAGING MEMBER)
(800) 893-9698
Entity
Organization
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, EMERGENCY DEPARTMENT, PORT ARTHUR, TX 77640-2007
(409) 853-5300
(409) 853-5399
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(008) 939-6988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006PG
BCBS
TX
05
—
187740901
—
TX
01
—
DG1776
RR MCR
TX
Enumeration date
12/08/2006
Last updated
05/06/2021
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