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
—
—
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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