Individual
ARTURO CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 PORT LANE, AMARILLO, TX 79106-2470
(806) 358-4839
(806) 358-4899
Mailing address
1911 PORT LANE, AMARILLO, TX 79106-2470
(806) 358-4839
(806) 358-4899
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F0144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BD94
BLUE CROSS BLUE SHIELD
—
01
—
109944100
FIRSTCARE
—
01
—
160006233
RAILROAD MEDICARE
—
Enumeration date
07/06/2006
Last updated
07/29/2010
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