Provider Demographics
NPI:1861657017
Name:ARCENEAUX, SHIRLEY RENE
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:RENE
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9931 HYATT RESORT DR
Mailing Address - Street 2:APT 934
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4164
Mailing Address - Country:US
Mailing Address - Phone:210-706-9594
Mailing Address - Fax:
Practice Address - Street 1:9931 HYATT RESORT DR
Practice Address - Street 2:APT 934
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4164
Practice Address - Country:US
Practice Address - Phone:210-706-9594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-26
Last Update Date:2008-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker