Organization Active NPI

Exceptional Physicians Group Port Arthur PLLC

  • Emergency Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1841849403
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EXCEPTIONAL PHYSICIANS GROUP PORT ARTHUR PLLC
Practice address
3330 FM 365
Port Arthur, TX 77642-7705
Phone
(469) 341-7800
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Saeed S Mahboubi
Title
Cfo
Phone
(469) 341-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

3330 FM 365
Port Arthur, TX 77642-7705

Mailing address

3330 FM 365
Port Arthur, TX 77642-7705
Phone (469) 341-7800

National Provider Directory

National Provider Directory

Locations

3330 Highway 365
Port Arthur, TX 77642
Phone (409) 722-9554

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1841849403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 FM 365",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427705",
            "telephone_number": "469-341-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 FM 365",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427705",
            "telephone_number": "469-341-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL PHYSICIANS GROUP PORT ARTHUR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MAHBOUBI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-341-7800"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.