Provider Demographics
NPI:1710591904
Name:ARTHUR, FREDERICK KWAME
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:KWAME
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13133 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1903
Mailing Address - Country:US
Mailing Address - Phone:281-440-7456
Mailing Address - Fax:281-537-6877
Practice Address - Street 1:13133 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1903
Practice Address - Country:US
Practice Address - Phone:281-440-7456
Practice Address - Fax:281-537-6877
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty