Healthcare Provider Details

I. General information

NPI: 1831107127
Provider Name (Legal Business Name): PROSPERO V. ARANTE, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 06/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 COUNTRY LANE DR
LUMBERTON TX
77657-6804
US

IV. Provider business mailing address

288 COUNTRY LANE DR
LUMBERTON TX
77657-6804
US

V. Phone/Fax

Practice location:
  • Phone: 409-227-4413
  • Fax: 409-227-4390
Mailing address:
  • Phone: 409-227-4413
  • Fax: 409-227-4390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PROSPERO V ARANTE
Title or Position: M.D.
Credential: M.D., P.A.
Phone: 409-227-4413