Provider Demographics
NPI:1891269890
Name:ARAUCO MEDICAL CONSULTANTS
Entity Type:Organization
Organization Name:ARAUCO MEDICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:ARAUCO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:214-587-3661
Mailing Address - Street 1:400 N SAINT PAUL ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6869
Mailing Address - Country:US
Mailing Address - Phone:214-256-4076
Mailing Address - Fax:214-256-4066
Practice Address - Street 1:400 N SAINT PAUL ST STE 1200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-6869
Practice Address - Country:US
Practice Address - Phone:214-256-4076
Practice Address - Fax:214-256-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service