MEDICARE: MARIA ELENA ARIZMENDEZ MD

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
1	208100000X	Physical Medicine & Rehabilitation Physician	L9075	TX

General Provider Information

NPI Number	:	1194702423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ELENA ARIZMENDEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 163895
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78716-3895
Country	:	US
Telephone Number	:	817-284-9850
Fax Number	:	817-284-9859

Provider Business Practice Location Address
First Line	:	3207 RANCH ROAD 620 S STE B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-6872
Country	:	US
Telephone Number	:	817-284-9850
Fax Number	:	817-284-9859

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	06/02/2025

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