Provider Demographics
NPI:1356381750
Name:AVILES, ARTURO E (MD)
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:E
Last Name:AVILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W COLORADO BLVD
Mailing Address - Street 2:PAVILION 1 - SUITE 424
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2363
Mailing Address - Country:US
Mailing Address - Phone:214-941-1366
Mailing Address - Fax:214-942-5983
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:PAVILION 1 - SUITE 424
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2363
Practice Address - Country:US
Practice Address - Phone:214-941-1366
Practice Address - Fax:214-942-5983
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3825207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX882651OtherBC/BS
TX105718401Medicaid
TX882651Medicare PIN
TX882651OtherBC/BS
TX105718401Medicaid