Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | M2250 | TX |
NPI | 1053381418 |
---|---|
Provider Name | Luis R. Arce |
First Address | Dallas, TX 75284-6098 |
Second Address | Tyler, TX 75701-2004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 24/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136917 | SUPERIOR/CHIPS (01) | TX |
176818601 | (05) | TX |
176818602 | (05) | TX |
176818603 | (05) | TX |
7149558 | AENTA (01) | TX |
75-0818167-015 | TRICARE (01) | TX |
8ED744 | BCBS (01) | TX |
8S3313 | BCBS (01) | TX |
H63507 | (02) | TX |
P01303109 | RAIL ROAD (01) | TX |
TAX ID AND 012 | TRICARE (01) | TX |