Southeast Texas Internal Medicine, Pa

LBN: Southeast Texas Internal Medicine, Pa
Southeast Texas Internal Medicine, Pa is an health care organization with primary practice located at 7980 Anchor Dr Bldg. 400, Port Arthur TX 77642-8266. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southeast Texas Internal Medicine, Pa can be contacted via phone (409) 729-7030, or through Gambrah, Anthony O. via phone (409) 729-7030.

Contact Information

Primary practice address
7980 Anchor Dr Bldg. 400 Port Arthur TX 77642-8266
Phone: (409) 729-7030
Fax: (409) 729-7015
Website:
Map and Directions
Authorized official contact:
Name: Gambrah, Anthony O. MD. FACP
Phone: (409) 729-7030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J9675 Texas

Profile Details

NPI number 1730155995
LBN Legal business name Southeast Texas Internal Medicine, Pa
DBA Doing business as
Authorized official Gambrah, Anthony O. MD. FACP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Jun 23rd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730155995 NPPES
Texas MEDICAID 143474801

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