Exceptional Port Arthur LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EXCEPTIONAL PORT ARTHUR LLC

Practice address

1321 N 16TH St
Orange, TX 77630-3609

Phone

(469) 341-7800

NPI assigned

Jun 25, 2019

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1942861471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776303609",
            "telephone_number": "469-341-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776303609",
            "telephone_number": "469-341-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL PORT ARTHUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "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": []
}

• Justin Aaron Evans, CF-SLP
• Peter Shelby Evans, M.D., FACEP
• Evelyn Anderson LPC
• Exceptional H C Orange LLC
• Exceptional Physicians Group Orange PLLC
• Baher Fahmy, R.PH, PHD
• Family & Psychological Center
• John Fernon Jr.
• Mercedes Mariah Fezia, BSN,RN
• Lucy Deblanc Fields, OTR

• Emergency Medicine Physician in Orange, TX
• Providers in Orange, TX by specialty
• Emergency Medicine Physician in Texas

• 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.