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Individual

JOHN CHARLES ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-6400
(214) 648-5461
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(214) 645-0078

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1850
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042683502
TX
01
042683503
MEDICAID CSHCN
TX
05
042683504
TX
01
8EH317
BCBS
TX
01
8U3199
BCBS
TX
01
P00647465
RAIL ROAD
TX
Enumeration date
05/18/2006
Last updated
10/27/2019
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