Provider Demographics
NPI:1932247152
Name:JUDE ARIRIGUZO MD PA
Entity Type:Organization
Organization Name:JUDE ARIRIGUZO MD PA
Other - Org Name:JUDE M ARIRIGUZO
Other - Org Type:Other Name
Authorized Official - Title/Position:MD PA OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:MBAMARA
Authorized Official - Last Name:ARIRIGUZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-888-8893
Mailing Address - Street 1:2601 HOSPITAL BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-1855
Mailing Address - Country:US
Mailing Address - Phone:361-888-8893
Mailing Address - Fax:361-888-9446
Practice Address - Street 1:2601 HOSPITAL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1855
Practice Address - Country:US
Practice Address - Phone:361-888-8893
Practice Address - Fax:361-888-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3974207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D1060344OtherCLIA
TX030331502Medicaid
TX030331502Medicaid
G41566Medicare UPIN