Provider Demographics
NPI:1033222351
Name:ARRONDO, LOUIS LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:LAWRENCE
Last Name:ARRONDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 HWY 37 SOUTH
Mailing Address - Street 2:
Mailing Address - City:MT VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:75457
Mailing Address - Country:US
Mailing Address - Phone:903-588-2766
Mailing Address - Fax:903-588-2804
Practice Address - Street 1:920 HWY 37 SOUTH
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:TX
Practice Address - Zip Code:75457
Practice Address - Country:US
Practice Address - Phone:903-588-2766
Practice Address - Fax:903-588-2804
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0606207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A15063Medicare UPIN
TX00TG25Medicare ID - Type Unspecified