Provider Demographics
NPI:1962160069
Name:DAY, ARLANDO C (INDIVIDUAL CONTRACT)
Entity type:Individual
Prefix:
First Name:ARLANDO
Middle Name:C
Last Name:DAY
Suffix:
Gender:M
Credentials:INDIVIDUAL CONTRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7216 MISTY DAWN DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1941
Mailing Address - Country:US
Mailing Address - Phone:817-353-4856
Mailing Address - Fax:
Practice Address - Street 1:7216 MISTY DAWN DR
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76140-1941
Practice Address - Country:US
Practice Address - Phone:817-353-4856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver