Provider Demographics
NPI:1114973260
Name:ARIAS, JOSE P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:P
Last Name:ARIAS
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:PO BOX 51740
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-1740
Mailing Address - Country:US
Mailing Address - Phone:806-352-9586
Mailing Address - Fax:806-352-9587
Practice Address - Street 1:1911 PORT LN
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2470
Practice Address - Country:US
Practice Address - Phone:806-352-9586
Practice Address - Fax:806-352-9587
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2527208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00FC35OtherBLUE CROSS
00FC35Medicare ID - Type Unspecified
C12929Medicare UPIN