Organization
PIONEER PHYSICIAN SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A PAWLOWSKI MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
8445 MEMORIAL BLVD, SUITE 600, PORT ARTHUR, TX 77640-7003
(409) 989-5400
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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