Active NPI
Exceptional Physicians Group Port Arthur PLLC
- Emergency Medicine Physician
- Port Arthur, TX
National Provider Identifier
1841849403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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 DirectoryLocations
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.