# ANTHONY ALAN ARVELLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285744029
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA02103 | TX | Yes |
| 363AM0700X | Medical Physician Assistant | PA02103 | TX | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 01/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1037608 | NCCPA CERTIFICATION NUMBER | — |
| 05 | — | 1841991-04 | — | TX |
| 01 | — | 8888NK | BCBS | TX |
| 01 | — | 970030289 | MEDICARE RAILROAD NUMBER | TX |
| 01 | — | PA - 02103 | STATE LICENSE NUMBER | TX |