| Charles D Foutz, MD | |
|
2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | |
| (409) 724-7389 | |
| Not Available |
| Full Name | Charles D Foutz |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2555 Jimmy Johnson Blvd, Port Arthur, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356390298 | NPI | - | NPPES |
| 140113527 | Medicaid | TX | |
| 8R9680 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E0918 (Texas) | Primary |
| Entity Name | Port Arthur Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255491627 PECOS PAC ID: 6901905736 Enrollment ID: O20070620000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Foutz, MD Po Box 8730, Fort Worth, TX 76124-0730 Ph: (817) 451-4208 | Charles D Foutz, MD 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 Ph: (409) 724-7389 |
Syed S Ali, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8035 Memorial Blvd, Port Arthur, TX 77640 Phone: 409-237-5870 | |
Michael G Kolcun, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
Dr. Tony Thomas Abraham, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8801 9th Ave, Port Arthur, TX 77642 Phone: 409-724-3600 | |
Mrs. Sheila Michelle Bishop, DM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8035 Memorial Blvd, Golden Triangle Emergency Center, Port Arthur, TX 77640 Phone: 409-237-5870 | |
Anthony Kirk Williams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 | |
Dennis C Rainey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 Phone: 409-724-7389 |