MEDICARE: ARNOLD JEROME WOLF DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0340	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174513949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNOLD JEROME WOLF DPM

Provider Business Mailing Address
First Line	:	7707 FANNIN ST
Second Line	:	SUITE 250
City	:	HOUSTON
State	:	TX
Zip	:	77054-1926
Country	:	US
Telephone Number	:	713-797-9999
Fax Number	:	713-797-6503

Provider Business Practice Location Address
First Line	:	7707 FANNIN ST
Second Line	:	SUITE 250
City	:	HOUSTON
State	:	TX
Zip	:	77054-1926
Country	:	US
Telephone Number	:	713-797-9999
Fax Number	:	713-797-6503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	04/18/2013

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