1427143452 NPI number — DR. CHARLES JOSEPH ARAMBURO M.D.

Table of content: DR. CHARLES JOSEPH ARAMBURO M.D. (NPI 1427143452)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427143452 NPI number — DR. CHARLES JOSEPH ARAMBURO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARAMBURO
Provider First Name:
CHARLES
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427143452
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/14/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13811 MURPHY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STAFFORD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77477-4903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-772-1200
Provider Business Mailing Address Fax Number:
713-772-0258

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7777 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
SUITE 810
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77074-1802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-772-1200
Provider Business Practice Location Address Fax Number:
713-772-0258
Provider Enumeration Date:
10/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  K9482 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 20046836 . This is a "MEDICARE RR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 04027986-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5587466 . This is a "CIGNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7157169 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: K9482 . This is a "TMB LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10031443 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com