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1326100439
4500 GULFWAY MEDICAL MANAGEMENT PA
PORT ARTHUR, TX
NPI
1326100439
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Entity Type
Organization
Authorized Contact
ISAM NAZMI ANABTAWI
Doctor
409-982-5110
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX D5588)
Enumeration Date
2006-12-14
Last Update Date
2007-10-29
Business Address
4500 GULFWAY MEDICAL MANAGEMENT PA
4500 GULFWAY DRIVE
PORT ARTHUR, TX 77642
Phone number: 409-982-5110
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Mailing Address
4500 GULFWAY MEDICAL MANAGEMENT PA
PO BOX 3756
PORT ARTHUR, TX 77643
Phone number: 409-982-5110
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