Apollo Physician Of Texas PA
Nurse Practitioner in Port Arthur, TX. Organization (NPI-2).
NPI number1457300394
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1457300394
- Entity type
- Organization (NPI-2)
- Legal business name
- Apollo Physician Of Texas PA
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – |
Other names
- Apollo Emergency Physicians (Doing Business As)
Practice location
2555 Jimmy Johnson BlvdPort Arthur, TX 77640-2007
Phone 409-724-7389
Mailing address
Po Box 8730Fort Worth, TX 76124-0730
Phone 817-451-4208
Authorized official
Anthony Kirk Williams
President
4097247389
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