MEDICARE: DR. ARTURO R LLANOS M.D.

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	207Q00000X	Family Medicine Physician	H4495	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
2	3305231	OTHER	TX	BLUE LINK
3	H4495	OTHER	TX	TEXAS MEDICAL LICENSE

General Provider Information

NPI Number	:	1477551901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTURO R LLANOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 294569
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78029-4569
Country	:	US
Telephone Number	:	830-895-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 WATER ST
Second Line	:	SUITE 103
City	:	KERRVILLE
State	:	TX
Zip	:	78028-5200
Country	:	US
Telephone Number	:	803-895-3733
Fax Number	:

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/12/2007

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