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NPI Code Detail

MEDICARE: DR. PROSPERO V ARANTE MD

MEDICARE:  DR. PROSPERO V ARANTE  MD
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 PhysicianJ8888TX

Other Identifiers

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

General Provider Information

NPI Number : 1649272857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PROSPERO V ARANTE MD
Provider Business Mailing Address
First Line : 3406 COLLEGE ST STE 200
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-4612
Country : US
Telephone Number : 409-813-1677
Fax Number :
Provider Business Practice Location Address
First Line : 2200 HIGHWAY 365
Second Line :
City : NEDERLAND
State : TX
Zip : 77627-5506
Country : US
Telephone Number : 409-813-1677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/16/2024

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Directions to “ DR. PROSPERO V ARANTE MD” Practice Location

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