Provider Demographics
NPI:1922188119
Name:ARCA, SANDRA H (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:H
Last Name:ARCA
Suffix:
Gender:F
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:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:4001 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 140
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1525
Practice Address - Country:US
Practice Address - Phone:972-691-2388
Practice Address - Fax:972-691-2766
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3964208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXARCSG05447OtherCCHIP PIN
1750369203OtherGRP NPI NUMBER
TX00U87ZOtherBCBSTX GRP PIN
TX110643705OtherCSHCN
TX1382957OtherUHC PIN
TX5981065OtherAETNA PIN
TX8022100OtherCIGNA PIN
TX89501XOtherBCBSTX IND PIN
TX148173100OtherFIRSTCARE PIN
TX110643704Medicaid
TX309530OtherPHCS PIN
TX864007OtherFIRSTHEALTH PIN
TX110643705OtherCSHCN
TX148173100OtherFIRSTCARE PIN
TX89501XOtherBCBSTX IND PIN