Provider Demographics
NPI:1073818951
Name:ARTHUR MEDICAL GROUP
Entity Type:Organization
Organization Name:ARTHUR MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:XIN
Authorized Official - Middle Name:
Authorized Official - Last Name:XIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-421-9968
Mailing Address - Street 1:3993 SPRING MOUNTAIN RD # 299
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8613
Mailing Address - Country:US
Mailing Address - Phone:702-560-1369
Mailing Address - Fax:
Practice Address - Street 1:42357 50TH ST W STE 108
Practice Address - Street 2:
Practice Address - City:QUARTZ HILL
Practice Address - State:CA
Practice Address - Zip Code:93536-3529
Practice Address - Country:US
Practice Address - Phone:702-560-1369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty