Healthcare Provider Details

I. General information

NPI: 1841488145
Provider Name (Legal Business Name): QAMAR U ARFEEN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 12/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3406 COLLEGE ST SUITE 200
BEAUMONT TX
77701-4612
US

IV. Provider business mailing address

3406 COLLEGE ST SUITE 100
BEAUMONT TX
77701-4612
US

V. Phone/Fax

Practice location:
  • Phone: 409-730-2006
  • Fax: 409-813-2710
Mailing address:
  • Phone: 409-813-1677
  • Fax: 409-813-1699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberJ7414
License Number StateTX

VIII. Authorized Official

Name: MS. DEANA O WILSON
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 409-730-2006