Provider Demographics
NPI:1437254851
Name:ARCE, LUIS MANUEL (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:MANUEL
Last Name:ARCE
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:PO BOX 33724
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76162-3724
Mailing Address - Country:US
Mailing Address - Phone:817-346-0847
Mailing Address - Fax:817-346-0847
Practice Address - Street 1:759 HEINTZELMAN RD
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-9273
Practice Address - Country:US
Practice Address - Phone:940-325-6933
Practice Address - Fax:940-325-4489
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2482207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF33409Medicare UPIN