Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | F2160 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | F2160 | TX |
NPI | 1326024811 |
---|---|
Provider Name | Dr. Juan W Arias |
First Address | Dallas, TX 75237-3460 |
Second Address | Dallas, TX 75208-2382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2005 |
Last Update Date | 15/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100052304 | (05) | TX |
C12928 | (02) | TX |