Provider Demographics
NPI:1659582641
Name:ARTHRITIS CARE & DIAGNOSTIC CENTER, PA
Entity Type:Organization
Organization Name:ARTHRITIS CARE & DIAGNOSTIC CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRODSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-696-1600
Mailing Address - Street 1:8440 WALNUT HILL LN
Mailing Address - Street 2:SUITE 340
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3833
Mailing Address - Country:US
Mailing Address - Phone:214-696-1600
Mailing Address - Fax:214-696-2912
Practice Address - Street 1:8230 WALNUT HILL LN
Practice Address - Street 2:SUITE 818
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4482
Practice Address - Country:US
Practice Address - Phone:214-696-1600
Practice Address - Fax:214-696-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9755174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21516Medicare UPIN
TX00N77JMedicare PIN