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Organization

NEUROLOGY ASSOCIATES OF SOUTHEAST TEXAS, P.L.L.C.

Active
Other names
MARWAN PURGHOL, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WENDY REBECCA ROLLER CMOM, CMC (OFFICE MANAGER)
(409) 729-6700
Entity
Organization

Contact information

Practice address
2001 9TH AVE, SUITE 201, PORT ARTHUR, TX 77642-2701
(409) 729-6700
(409) 729-6705
Mailing address
PO BOX 1283, NEDERLAND, TX 77627-1283
(409) 729-6700
(409) 729-6705

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L0520
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004MG
BC
TX
05
047623603
TX
05
174447601
TX
01
8R7190
BC
TX
01
L0520
TEXAS MEDICAL LICENSE
TX
Enumeration date
03/05/2007
Last updated
09/09/2010
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