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Individual

JENDA MILLAN ARAWIRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(808) 414-9800
(806) 354-5689

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Q1079
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
Q1079
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200546740 A
OK
05
336832601
TX
05
336832602
TX
05
86106732
NM
Enumeration date
05/20/2009
Last updated
10/01/2015
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