Provider Demographics
NPI:1508094509
Name:ARTHUR, YVONNE MENSAH
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:MENSAH
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 PINE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7507
Mailing Address - Country:US
Mailing Address - Phone:817-566-5527
Mailing Address - Fax:
Practice Address - Street 1:3112 PINE VALLEY DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7507
Practice Address - Country:US
Practice Address - Phone:817-566-5527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker