| John B Arkusinski Do Pa | |
|
204 E. Main Street Italy TX 76651 | |
| (972) 483-7979 | |
| (972) 483-7922 |
| Full Name | John B Arkusinski Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 204 E. Main Street, Italy, Texas |
| Authorized Official Name and Position | John Bruno Arkusinski (OWNER) |
| Authorized Official Contact | 9724837979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John B Arkusinski Do Pa 204 E. Main Street Italy TX 76651 Ph: (972) 483-7979 | John B Arkusinski Do Pa 204 E. Main Street Italy TX 76651 Ph: (972) 483-7979 |
| NPI Number | 1033118724 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 10/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033118724 | NPI | - | NPPES |
| 152024901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L3913 (Texas) | Primary |