Unknown Individual – Obstetrics & Gynecology Physician, NPI 1295731487
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4640, 9th Avenue, Pear Ridge, Port Arthur, Jefferson County, Texas, 77642, United States
STE 101
PORT ARTHUR, TX 776425820
Phone: (409) 963-1066
Fax: (409) 963-7272
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77642)
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