Provider Demographics
NPI:1073563557
Name:ARNETTE, RHONDA K (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:K
Last Name:ARNETTE
Suffix:
Gender:F
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:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7201
Practice Address - Country:US
Practice Address - Phone:214-794-9463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC100209207L00000X
NH13941207L00000X
TXM9811207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205598002Medicaid
TXP01013178OtherRAILROAD
TX8DC299OtherBCBS
TX8EH314OtherBCBS
TX205598004Medicaid
TX205598003Medicaid
TXP01013178OtherRAILROAD
TX205598003Medicaid
TXTXB145604Medicare PIN