Provider Demographics
NPI:1124571583
Name:ARRIAGA, ANDREW AARON
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:AARON
Last Name:ARRIAGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 UPTOWN BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3538
Mailing Address - Country:US
Mailing Address - Phone:469-272-3129
Mailing Address - Fax:469-272-3145
Practice Address - Street 1:638 UPTOWN BLVD
Practice Address - Street 2:STE 110
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3538
Practice Address - Country:US
Practice Address - Phone:469-272-3129
Practice Address - Fax:469-272-3145
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1279320225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist