OrganizationActive
4500 Gulfway Medical Management PA
NPI 1326100439 · Physician Assistant · Port Arthur, TX
Provider details
- NPI number
- 1326100439
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Isam Anabtawi, Doctor
- License
- D5588 (TX)
Practice location
4500 Gulfway Drive
Port Arthur, TX 77642
Phone: (409) 982-5110
Fax: (409) 982-8196
Mailing address
Po Box 3756
Port Arthur, TX 77643
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2007-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.