Provider Demographics
NPI:1134821028
Name:ARTHUR DIRECT CARE LLC
Entity type:Organization
Organization Name:ARTHUR DIRECT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-906-3550
Mailing Address - Street 1:1750 ROUND ROCK AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4215
Mailing Address - Country:US
Mailing Address - Phone:512-763-0457
Mailing Address - Fax:
Practice Address - Street 1:1750 ROUND ROCK AVE STE 200
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4215
Practice Address - Country:US
Practice Address - Phone:512-763-0457
Practice Address - Fax:512-521-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty