Provider Demographics
NPI:1750513628
Name:MASSO, ARTHUR JULIAN SR (RPH)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:JULIAN
Last Name:MASSO
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3354 INTERNATIONAL BLVD.
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520
Mailing Address - Country:US
Mailing Address - Phone:956-544-2959
Mailing Address - Fax:956-544-2774
Practice Address - Street 1:3354 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3226
Practice Address - Country:US
Practice Address - Phone:956-544-2959
Practice Address - Fax:956-544-2774
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist