Organization
JAMES A. ARISCO, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ANTHONY ARISCO D.D.S. (OWNER)
(709) 722-8404
Entity
Organization
Contact information
Practice address
3151 SABA LN, PORT NECHES, TX 77651-5421
(409) 722-8404
Mailing address
3151 SABA LN, PORT NECHES, TX 77651-5421
(409) 722-8404
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82D367
BLUECROSS BLUESHIELD
TX
Enumeration date
01/07/2009
Last updated
01/07/2009
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