Provider Demographics
NPI:1477534311
Name:ARNAUD, GUILLERMO WINSTON (MD)
Entity Type:Individual
Prefix:DR
First Name:GUILLERMO
Middle Name:WINSTON
Last Name:ARNAUD
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 1:3508 STAFFORD DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4732
Mailing Address - Country:US
Mailing Address - Phone:918-931-2983
Mailing Address - Fax:
Practice Address - Street 1:3508 STAFFORD DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4732
Practice Address - Country:US
Practice Address - Phone:405-928-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD32076208600000X
OK14267208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200016900 AMedicaid
AR156013001Medicaid
OK200016900 AMedicaid
OK58864Medicare ID - Type Unspecified