Organization · NPI-2

Exceptional Physicians Group Port Arthur PLLC

Emergency Medicine · Port Arthur, TX

NPI number1841849403
StatusActive
Last updated in NPPESJul 23, 2020

Details

NPI
1841849403
Entity type
Organization (NPI-2)
Legal business name
Exceptional Physicians Group Port Arthur PLLC
Organization subpart
No
Enumeration date
Sep 6, 2019
Certification date
Jul 23, 2020
Last updated
Jul 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

3330 Fm 365
Port Arthur, TX 77642-7705

Phone 469-341-7800

Mailing address

3330 Fm 365
Port Arthur, TX 77642-7705

Phone 469-341-7800

Authorized official

Saeed S Mahboubi
Cfo
4693417800

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