1588605844 NPI number — FRANK ARAIZA LCSW

Table of content: FRANK ARAIZA LCSW (NPI 1588605844)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588605844 NPI number — FRANK ARAIZA LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARAIZA
Provider First Name:
FRANK
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
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:
1588605844
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/22/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 828
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070-8144
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-562-0190
Provider Business Mailing Address Fax Number:
972-562-0190

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3920 ALMA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75023-6748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-422-5939
Provider Business Practice Location Address Fax Number:
972-424-2382
Provider Enumeration Date:
06/09/2006

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: 106H00000X , with the licence number:  4260 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 04670 , 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: 142652003 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 134324609 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 134324608 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 142652002 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".