Provider Demographics
NPI:1083618433
Name:ARNO, MARY H (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:H
Last Name:ARNO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:224 W EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5404
Mailing Address - Country:US
Mailing Address - Phone:210-225-3377
Mailing Address - Fax:210-225-3379
Practice Address - Street 1:224 W EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5404
Practice Address - Country:US
Practice Address - Phone:210-225-3377
Practice Address - Fax:210-225-3379
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE2446207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0004382261OtherAETNA
TX00HC68OtherBLUE SHIELD
TX00HC68OtherBLUE SHIELD
TXC12947Medicare UPIN