Provider Demographics
NPI:1437352614
Name:ARRAUT, AMARYLLIS MARIA ELPIDA (MD)
Entity Type:Individual
Prefix:
First Name:AMARYLLIS
Middle Name:MARIA ELPIDA
Last Name:ARRAUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMARYLLIS
Other - Middle Name:MARIA ELPIDA
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1325 PENNSYLVANIA AVE
Mailing Address - Street 2:STE 600
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2158
Mailing Address - Country:US
Mailing Address - Phone:817-878-5298
Mailing Address - Fax:817-878-5289
Practice Address - Street 1:1325 PENNSYLVANIA AVE
Practice Address - Street 2:STE 600
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2158
Practice Address - Country:US
Practice Address - Phone:817-878-5298
Practice Address - Fax:817-878-5289
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5219207VM0101X, 390200000X
ORMD29445390200000X, 207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology