Provider Demographics
NPI:1407819311
Name:LOESCHEN, ARLENE MARIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:MARIE
Last Name:LOESCHEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 LONG PRAIRIE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3126
Mailing Address - Country:US
Mailing Address - Phone:281-574-4793
Mailing Address - Fax:
Practice Address - Street 1:777 S FRY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2244
Practice Address - Country:US
Practice Address - Phone:281-647-9950
Practice Address - Fax:281-647-9960
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX578962363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G0929Medicare ID - Type Unspecified
TXP12936Medicare UPIN