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NPI Code Detail

MEDICARE: ANTHONY ALAN ARVELLO PA-C

MEDICARE: ANTHONY ALAN ARVELLO PA-C
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
1363AM0700XMedical Physician AssistantPA02103TX
2363A00000XPhysician AssistantPA02103TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4970030289OTHERTXMEDICARE RAILROAD NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28888NKOTHERTXBCBS
31037608OTHERNCCPA CERTIFICATION NUMBER
5PA - 02103OTHERTXSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1285744029
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY ALAN ARVELLO PA-C
Provider Business Mailing Address
First Line : PO BOX 3046
Second Line :
City : MALVERN
State : PA
Zip : 19355-0746
Country : US
Telephone Number : 806-351-7070
Fax Number :
Provider Business Practice Location Address
First Line : 1000 CRAIG DR
Second Line :
City : AMARILLO
State : TX
Zip : 79106-4015
Country : US
Telephone Number : 806-331-7905
Fax Number : 806-731-1516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/26/2018

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Directions to “ ANTHONY ALAN ARVELLO PA-C” Practice Location

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