Provider Demographics
NPI:1114375342
Name:PEDRO M. ARGUELLO, M.D. PA
Entity Type:Organization
Organization Name:PEDRO M. ARGUELLO, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARGUELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-647-9300
Mailing Address - Street 1:9190 KATY FWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7455
Mailing Address - Country:US
Mailing Address - Phone:713-647-9300
Mailing Address - Fax:713-647-5582
Practice Address - Street 1:9190 KATY FWY
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7455
Practice Address - Country:US
Practice Address - Phone:713-647-9300
Practice Address - Fax:713-647-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00074JMedicare PIN
TXTXB1411293Medicare PIN