Sudan, Arthur Wayne
Sudan, Arthur Wayne is an individual health care provider with primary practice located at 301 Richland West Cir , Waco TX 76712-7932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sudan, Arthur Wayne can be contacted via phone (254) 537-6200.Contact Information
Primary practice address
301 Richland West Cir
Waco TX 76712-7932
Phone: (254) 537-6200
Fax: (254) 537-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | F8332 | Texas |
Profile Details
| NPI number | 1225002389 |
|---|---|
| LBN Legal business name | Sudan, Arthur Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Sep 23rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225002389 | NPPES |
| Texas | MEDICAID | 123199505 | |
| Texas | MEDICAID | 123199503 |
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