Provider Demographics
NPI:1972961217
Name:ARTHUR, TANIA (DDS, MPH)
Entity type:Individual
Prefix:DR
First Name:TANIA
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10211 CYPRESSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3407
Mailing Address - Country:US
Mailing Address - Phone:832-384-4488
Mailing Address - Fax:
Practice Address - Street 1:10211 CYPRESSWOOD DR STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3407
Practice Address - Country:US
Practice Address - Phone:832-384-4488
Practice Address - Fax:832-384-4455
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX326641223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX367710603Medicaid