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NPI Code Detail

MEDICARE: ARC LIFE HEALTH, INC.

MEDICARE: ARC LIFE HEALTH, INC.
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1629912787
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARC LIFE HEALTH, INC.
Provider Business Mailing Address
First Line : 1901 PLEASANT VALLEY DR
Second Line :
City : PLANO
State : TX
Zip : 75023-6529
Country : US
Telephone Number : 214-577-3216
Fax Number :
Provider Business Practice Location Address
First Line : 1901 PLEASANT VALLEY DR
Second Line :
City : PLANO
State : TX
Zip : 75023-6529
Country : US
Telephone Number : 214-577-3216
Fax Number :
Authorized Official
Title or Position : CEO
Name : MATTHEW SHULL
Credential :
Telephone Number : 214-577-3216
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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