Provider Demographics
NPI:1881715530
Name:HIGHLANDS RANCH FAMILY MEDICINE, P.C.
Entity type:Organization
Organization Name:HIGHLANDS RANCH FAMILY MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:FERNANDEZ
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-328-6147
Mailing Address - Street 1:537 W HIGHLANDS RANCH PKWY
Mailing Address - Street 2:UNIT 102
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6954
Mailing Address - Country:US
Mailing Address - Phone:720-328-6147
Mailing Address - Fax:720-328-6335
Practice Address - Street 1:537 W HIGHLANDS RANCH PKWY
Practice Address - Street 2:UNIT 102
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6954
Practice Address - Country:US
Practice Address - Phone:720-328-6147
Practice Address - Fax:720-328-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO308896261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care