Provider Demographics
NPI:1932103991
Name:AIDS RESOURCES OF RURAL TEXAS
Entity Type:Organization
Organization Name:AIDS RESOURCES OF RURAL TEXAS
Other - Org Name:ARRT HEALTH & WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MAB
Authorized Official - Phone:325-673-9987
Mailing Address - Street 1:3116 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-7004
Mailing Address - Country:US
Mailing Address - Phone:325-673-9987
Mailing Address - Fax:325-673-9989
Practice Address - Street 1:3116 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-7004
Practice Address - Country:US
Practice Address - Phone:325-673-9987
Practice Address - Fax:325-673-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP44417363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP34000Medicare UPIN
TXP44417Medicare UPIN