Provider Demographics
NPI:1508876939
Name:ARGUELLO, PEDRO MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:MIGUEL
Last Name:ARGUELLO
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 1:9190 OLD KATY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7432
Mailing Address - Country:US
Mailing Address - Phone:713-647-9300
Mailing Address - Fax:
Practice Address - Street 1:9190 OLD KATY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7432
Practice Address - Country:US
Practice Address - Phone:713-647-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3068207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F96777Medicare UPIN
00074JMedicare ID - Type Unspecified