Provider Demographics
NPI:1336200864
Name:ARTHO, ANGELINA MAE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:MAE
Last Name:ARTHO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2946 CULEBRA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-6103
Mailing Address - Country:US
Mailing Address - Phone:210-434-5772
Mailing Address - Fax:210-434-5773
Practice Address - Street 1:2946 CULEBRA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6103
Practice Address - Country:US
Practice Address - Phone:210-434-5772
Practice Address - Fax:210-434-5772
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1706434-01Medicaid
TX8M5461OtherBLUE CROSS BLUE SHIELD
TX8B9223Medicare ID - Type Unspecified