Provider Demographics
NPI:1376951228
Name:ARTHRITIS AND RHEUMATOLOGY SPECIALISTS, PA
Entity Type:Organization
Organization Name:ARTHRITIS AND RHEUMATOLOGY SPECIALISTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTAFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-626-8073
Mailing Address - Street 1:PO BOX 2347
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-6161
Mailing Address - Country:US
Mailing Address - Phone:940-626-8073
Mailing Address - Fax:940-626-8137
Practice Address - Street 1:2351 S FM 51
Practice Address - Street 2:SUITE 100
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3777
Practice Address - Country:US
Practice Address - Phone:940-626-8073
Practice Address - Fax:940-626-8137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4987207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E8E2OtherBCBSTX
TX342269301Medicaid
TX790531OtherMEDICARE - FORT WORTH