Healthcare Provider Details
I. General information
NPI: 1538328083
Provider Name (Legal Business Name): BENJAMIN ALLEN MCARTHUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2008
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
911 W 38TH ST STE 300
AUSTIN TX
78705-1161
US
IV. Provider business mailing address
4700 SETON CENTER PKWY STE 200
AUSTIN TX
78759-4107
US
V. Phone/Fax
- Phone: 512-439-1000
- Fax:
- Phone: 512-439-1000
- Fax: 512-439-1081
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | R0905 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0114X |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| License Number | R0905 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: