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NPI Code Detail

MEDICARE: DR. ARNOLD KEEFE CAROTHERS DO

MEDICARE: DR. ARNOLD KEEFE CAROTHERS DO
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
1207Q00000XFamily Medicine PhysicianK5848TX

General Provider Information

NPI Number : 1184687394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARNOLD KEEFE CAROTHERS DO
Provider Business Mailing Address
First Line : 8555 MEMORIAL BLVD STE 100
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-7001
Country : US
Telephone Number : 409-237-6480
Fax Number :
Provider Business Practice Location Address
First Line : 8555 MEMORIAL BLVD STE 100
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-7001
Country : US
Telephone Number : 409-237-6480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 12/14/2021

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Directions to “ DR. ARNOLD KEEFE CAROTHERS DO” Practice Location

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