Healthcare Provider Details

I. General information

NPI: 1710591904
Provider Name (Legal Business Name): FREDERICK KWAME ARTHUR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 RILEY FUZZEL RD
SPRING TX
77386
US

IV. Provider business mailing address

3731 RILEY FUZZEL RD
SPRING TX
77386-4619
US

V. Phone/Fax

Practice location:
  • Phone: 281-602-0283
  • Fax: 281-602-0285
Mailing address:
  • Phone: 281-602-0283
  • Fax: 281-602-0285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41797
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: