Healthcare Provider Details

I. General information

NPI: 1154393577
Provider Name (Legal Business Name): ANTONIO CARLOS ARAZOZA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 06/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W COLORADO BLVD PAV II STE#425
DALLAS TX
75208-2312
US

IV. Provider business mailing address

221 W COLORADO BLVD PAV II STE#425
DALLAS TX
75208-2312
US

V. Phone/Fax

Practice location:
  • Phone: 214-947-3684
  • Fax: 214-947-3686
Mailing address:
  • Phone: 214-947-3684
  • Fax: 214-947-3686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberF3719
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: