Provider Demographics
NPI:1912974064
Name:ARQUISOLA, ARNEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNEL
Middle Name:C
Last Name:ARQUISOLA
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 1:2705 HOSPITAL DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5775
Mailing Address - Country:US
Mailing Address - Phone:361-574-1880
Mailing Address - Fax:361-574-1882
Practice Address - Street 1:2705 HOSPITAL DR
Practice Address - Street 2:SUITE 204
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5775
Practice Address - Country:US
Practice Address - Phone:361-574-1880
Practice Address - Fax:361-574-1882
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5779208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186914101Medicaid
G77586Medicare UPIN