Provider Demographics
NPI:1932260478
Name:ARTHO, DAMIAN CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:DAMIAN
Middle Name:CHARLES
Last Name:ARTHO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79045-5247
Mailing Address - Country:US
Mailing Address - Phone:806-364-9292
Mailing Address - Fax:806-364-2216
Practice Address - Street 1:2946 CULEBRA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6103
Practice Address - Country:US
Practice Address - Phone:210-434-5772
Practice Address - Fax:210-434-5773
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9434111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1706442-01Medicaid
TX8M5460OtherBLUE CROSS BLUE SHIELD
TX8B9222Medicare ID - Type Unspecified