Organization
4500 GULFWAY MEDICAL MANAGEMENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAM NAZMI ANABTAWI MD (DOCTOR)
(409) 982-5110
Entity
Organization
Contact information
Practice address
4500 GULFWAY DRIVE, PORT ARTHUR, TX 77642
(409) 982-5110
(409) 982-8196
Mailing address
PO BOX 3756, PORT ARTHUR, TX 77643
(409) 982-5110
(409) 982-8196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
D5588
TX
Other
Enumeration date
12/14/2006
Last updated
10/29/2007
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