Provider Demographics
NPI:1114993169
Name:ARNOLD, ALLISTER DERWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISTER
Middle Name:DERWIN
Last Name:ARNOLD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3533 S ALAMEDA ST
Mailing Address - Street 2:CPSST, 5TH FLOOR SLOAN BLDG,
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1721
Mailing Address - Country:US
Mailing Address - Phone:361-694-5240
Mailing Address - Fax:361-694-4080
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:CPSST, 5TH FLOOR SLOAN BLDG. RADIOLOGY
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-694-5240
Practice Address - Fax:361-694-4080
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-10-04
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Provider Licenses
StateLicense IDTaxonomies
TXM06442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H75367Medicare UPIN