Provider Demographics
NPI:1477396943
Name:ARTHUR, JEFFERY NANA OWUSU (DPM)
Entity type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:NANA OWUSU
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE STE 417
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2439
Mailing Address - Country:US
Mailing Address - Phone:281-597-1630
Mailing Address - Fax:281-597-9760
Practice Address - Street 1:12121 RICHMOND AVE STE 417
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2439
Practice Address - Country:US
Practice Address - Phone:281-597-1630
Practice Address - Fax:281-597-9760
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT-692147213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist