Provider Demographics
NPI:1811379134
Name:SOUTHWEST ARTHRITIS RESEARCH GROUP PA
Entity Type:Organization
Organization Name:SOUTHWEST ARTHRITIS RESEARCH GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ATUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-288-2600
Mailing Address - Street 1:1600 REPUBLIC PKWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6918
Mailing Address - Country:US
Mailing Address - Phone:972-288-2600
Mailing Address - Fax:972-288-8886
Practice Address - Street 1:1600 REPUBLIC PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6918
Practice Address - Country:US
Practice Address - Phone:972-288-2600
Practice Address - Fax:972-288-8886
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHWEST ARTHRITIS RESEARCH GROUP PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8374174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty