4500 GULFWAY MEDICAL MANAGEMENT PA
NPI 1326100439
Physician Assistant in Port Arthur, TX

Active since December 14, 2006
4500 GULFWAY DRIVE, PORT ARTHUR, TX 77642(409) 982-5110(409) 982-8196 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 4500 Gulfway Medical Management Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

4500 GULFWAY MEDICAL MANAGEMENT PA (NPI 1326100439) is a healthcare organization registered as a physician assistant in Port Arthur, Texas and active in the NPI registry since December 2006. The organization lists Isam Nazmi Anabtawi, Doctor, as its authorized official.

NPPES Registry Identity

NPI1326100439
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business Name4500 GULFWAY MEDICAL MANAGEMENT PA
Location Address4500 GULFWAY DRIVEPort Arthur, TX 77642
Mailing AddressPo Box 3756Port Arthur, TX 77643 · (409) 982-5110 · Fax (409) 982-8196
Fax(409) 982-8196
Organization SubpartNo
Authorized OfficialIsam Nazmi AnabtawiDoctor · (409) 982-5110
Enumeration DateDecember 14, 2006
Last NPPES UpdateOctober 29, 2007
NPI 1326100439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · D5588
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4500 GULFWAY DRIVE, Port Arthur, TX 77642

Other Identifiers 2

Medicare UPINB20902
Medicare PIN0078AXTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 4500 Gulfway Medical Management PA's NPI number?

The NPI number for 4500 Gulfway Medical Management PA is 1326100439. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is 4500 Gulfway Medical Management PA located?

4500 Gulfway Medical Management PA is located at 4500 Gulfway Drive, Port Arthur, TX 77642. The listed phone number is (409) 982-5110.

What is 4500 Gulfway Medical Management PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for 4500 Gulfway Medical Management PA was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.