Provider Demographics
NPI:1215015441
Name:ARNOLD, LLOYD ELVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:ELVIN
Last Name:ARNOLD
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 1:4534 W GATE BLVD
Mailing Address - Street 2:114
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1485
Mailing Address - Country:US
Mailing Address - Phone:512-444-3131
Mailing Address - Fax:512-447-4699
Practice Address - Street 1:4534 W GATE BLVD
Practice Address - Street 2:106
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1485
Practice Address - Country:US
Practice Address - Phone:512-444-3131
Practice Address - Fax:512-447-4699
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD0031261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C989Medicare ID - Type UnspecifiedMEDICARE #