Provider Demographics
NPI:1356350193
Name:SZCZERBA, ARTHUR JACK (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JACK
Last Name:SZCZERBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9605
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-9561
Mailing Address - Country:US
Mailing Address - Phone:940-704-2947
Mailing Address - Fax:888-781-7063
Practice Address - Street 1:4909 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-2547
Practice Address - Country:US
Practice Address - Phone:940-704-2947
Practice Address - Fax:888-781-7063
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL0637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH32247Medicare UPIN