Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 2224 | TX |
NPI | 1083053565 |
---|---|
Provider Name | Dr. Irene Arroyo |
First Address | Des Plaines, IL 60016-1250 |
Second Address | Dallas, TX 75230-2571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 17/03/2020 |