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Individual

DR. ARNOLD DELA CRUZ PAULINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
H8314
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166480701
TX
05
166480702
TX
05
166480706
TX
05
166480707
TX
01
166480708
MEDICAID CSHCN
TX
05
166480709
TX
01
8BC023
BLUE CROSS BLUE SHIELD
TX
01
P00204101
RR MEDICARE
TX
Enumeration date
08/22/2005
Last updated
10/30/2013
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