Healthcare Provider Details

I. General information

NPI: 1417930595
Provider Name (Legal Business Name): ARNULFO CISNEROZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E HIGHWAY 71
SMITHVILLE TX
78957-1730
US

IV. Provider business mailing address

800 E HIGHWAY 71
SMITHVILLE TX
78957-1730
US

V. Phone/Fax

Practice location:
  • Phone: 512-237-3214
  • Fax: 512-237-5768
Mailing address:
  • Phone: 512-237-3214
  • Fax: 512-237-5768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberJ1929
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberJ1929
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: