MEDICARE: DR. MICHELLE ANN ARSENAULT 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	208M00000X	Hospitalist Physician	W6163	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	W6163	TX

General Provider Information

NPI Number	:	1699419267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE ANN ARSENAULT MD

Provider Business Mailing Address
First Line	:	920 FROSTWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2314
Country	:	US
Telephone Number	:	281-540-8409
Fax Number	:

Provider Business Practice Location Address
First Line	:	18951 N MEMORIAL DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4217
Country	:	US
Telephone Number	:	281-540-8409
Fax Number	:

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

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	05/21/2026

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