MEDICARE: LA SHAUN ARZU PLLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1609404771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA SHAUN ARZU PLLC

Provider Business Mailing Address
First Line	:	3115 IVY MILL LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6550
Country	:	US
Telephone Number	:	833-897-8917
Fax Number	:	713-272-8601

Provider Business Practice Location Address
First Line	:	8530 S BRAESWOOD BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1108
Country	:	US
Telephone Number	:	833-897-8917
Fax Number	:	713-272-8601

Authorized Official
Title or Position	:	CEO
Name	:	DR. LASHAUN ARZU
Credential	:	PHD
Telephone Number	:	833-897-8917

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	04/01/2020

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