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NPI Code Detail

MEDICARE: DR. TASNIM S ARSIWALA

MEDICARE: DR. TASNIM S ARSIWALA
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
1122300000XDentist30413TX

General Provider Information

NPI Number : 1922239029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TASNIM S ARSIWALA
Provider Business Mailing Address
First Line : 3600 FM 1488 RD STE 90
Second Line :
City : CONROE
State : TX
Zip : 77384-3818
Country : US
Telephone Number : 936-202-2689
Fax Number :
Provider Business Practice Location Address
First Line : 3600 FM 1488 RD STE 90
Second Line :
City : CONROE
State : TX
Zip : 77384-3818
Country : US
Telephone Number : 936-202-2689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 12/21/2014

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Directions to “ DR. TASNIM S ARSIWALA ” Practice Location

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