Individual
DR. MARWAN PURGHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 39TH ST, SUITE103, PORT ARTHUR, TX 77642-5517
(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 GROUP NUMBER
TX
05
—
047623603
—
TX
05
—
174447601
—
TX
01
—
8R7190
BC INDIVIDUAL PROV NUM
TX
01
—
L0520
MEDICAL LICENSE
TX
Enumeration date
07/08/2006
Last updated
09/10/2015
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