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NPI Code Detail

MEDICARE: GIDEON ARPUTHE DANIEL PAC

MEDICARE: GIDEON ARPUTHE DANIEL PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA01257TX

General Provider Information

NPI Number : 1134131790
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIDEON ARPUTHE DANIEL PAC
Provider Business Mailing Address
First Line : 1295 CORONADO CIR
Second Line :
City : BEAUMONT
State : TX
Zip : 77706-4202
Country : US
Telephone Number : 409-790-1470
Fax Number :
Provider Business Practice Location Address
First Line : 3080 COLLEGE ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-4606
Country : US
Telephone Number : 409-835-3781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 03/07/2008

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Directions to “ GIDEON ARPUTHE DANIEL PAC” Practice Location

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