Individual provider Active NPI

Lawrence W Sanders, M.D.

  • Family Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1164421103
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5568 Issued in TX
Practice address
1801 S Gulfway Dr
Port Arthur, TX 77640-4416
Phone
(409) 985-1819
Fax
(409) 985-1079
NPI assigned
Jul 20, 2005
Last updated
Jan 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5568 TX Primary

Addresses

Primary practice location

1801 S Gulfway Dr
Port Arthur, TX 77640-4416

Mailing address

2200 Highway 365
Nederland, TX 77627-5506
Phone (409) 722-4321

Other identifiers 2

IdentifierTypeStateIssuer
8510M2OtherBCBS OF TX PROVIDER #
126853406MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000726 TX Practitioner - Family Practice 9335050632 Practice locations: Nederland, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G5568TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Texas Medical PA CurrentSince Jan 12, 2025 Accepting new patients
Qamar U Arfeen MD PA CurrentSince Jan 1, 2014 Accepting new patients
K Paul Gerstenberg, D O, P a Family Medicine PastSince Feb 7, 2015 Accepting new patients
Houston G. Hamby, M. D. Family Medicine Past Accepting new patients

Locations

3406 College St
#100
Beaumont, TX 77701
Phone (409) 622-1424

3406 College St
Ste 100
Beaumont, TX 77701

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

1801 S Gulfway Dr
Port Arthur, TX 77640
Phone (409) 985-1819

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1164421103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275506",
            "telephone_number": "409-722-4321",
            "fax_number": "409-729-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S GULFWAY DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776404416",
            "telephone_number": "409-985-1819",
            "fax_number": "409-985-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LAWRENCE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER #",
            "identifier": "8510M2",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126853406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.