Provider Demographics
NPI:1942393871
Name:ARIAS, CESAR JOSE (MD)
Entity Type:Individual
Prefix:MR
First Name:CESAR
Middle Name:JOSE
Last Name:ARIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1215 S COULTER ST
Mailing Address - Street 2:STE 400
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1769
Mailing Address - Country:US
Mailing Address - Phone:806-677-2030
Mailing Address - Fax:806-677-2034
Practice Address - Street 1:1215 S COULTER ST STE 204
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1767
Practice Address - Country:US
Practice Address - Phone:806-677-2030
Practice Address - Fax:806-677-2034
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4222207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153246701Medicaid
TX8254N3Medicare ID - Type Unspecified
TX153246701Medicaid