Provider Demographics
NPI:1730296252
Name:ARRAZOLA, PEDRO M (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:M
Last Name:ARRAZOLA
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 1:5114 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2834
Mailing Address - Country:US
Mailing Address - Phone:956-618-5555
Mailing Address - Fax:956-618-0329
Practice Address - Street 1:5114 NORTH 10TH
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-618-5555
Practice Address - Fax:956-618-0329
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8538207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0331266-01Medicaid
TX0331266-01Medicaid
E65059Medicare UPIN