Provider Demographics
NPI:1831107127
Name:PROSPERO V. ARANTE, MD PA
Entity type:Organization
Organization Name:PROSPERO V. ARANTE, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:PROSPERO
Authorized Official - Middle Name:V
Authorized Official - Last Name:ARANTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:409-227-4413
Mailing Address - Street 1:288 COUNTRY LANE DR
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-6804
Mailing Address - Country:US
Mailing Address - Phone:409-227-4413
Mailing Address - Fax:409-227-4390
Practice Address - Street 1:288 COUNTRY LANE DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-6804
Practice Address - Country:US
Practice Address - Phone:409-227-4413
Practice Address - Fax:409-227-4390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0018GXOtherBCBS
TX00633UOtherMEDICARE GROUP
TN156113601Medicaid
TX080193297OtherRR MEDICARE
TN156113601Medicaid