Organization
DR. ARVIN SHORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALLORY A HORTON (ACCOUNT MANAGER)
(214) 646-0464
Entity
Organization
Contact information
Practice address
3000 N I-35, DENTON, TX 76201-5119
(940) 898-7182
Mailing address
514 E RED BIRD LN, DUNCANVILLE, TX 75116-2424
(214) 646-0464
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
B26421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072EV
BCBS
TX
05
—
141575401
—
TX
Enumeration date
04/19/2006
Last updated
06/30/2008
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