Provider Demographics
NPI:1396942892
Name:ARNOLD RAVDEL & ASSOCIATES PA
Entity type:Organization
Organization Name:ARNOLD RAVDEL & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ORTHOPEDIC SURGEON
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-691-0432
Mailing Address - Street 1:7333 NORTH FREEWAY
Mailing Address - Street 2:STE 290
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076
Mailing Address - Country:US
Mailing Address - Phone:713-691-0432
Mailing Address - Fax:713-691-0527
Practice Address - Street 1:7333 NORTH FREEWAY
Practice Address - Street 2:STE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1395
Practice Address - Country:US
Practice Address - Phone:713-691-0432
Practice Address - Fax:713-691-0527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8838207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127901002Medicaid