Provider Demographics
NPI:1497762546
Name:ARNOLD, INGRID ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:ELIZABETH
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 HELMS TRAIL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-7943
Mailing Address - Country:US
Mailing Address - Phone:214-686-1095
Mailing Address - Fax:972-564-1995
Practice Address - Street 1:10555 HELMS TRAIL STE A
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-7943
Practice Address - Country:US
Practice Address - Phone:214-686-1095
Practice Address - Fax:972-564-1995
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6978207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035221301Medicaid
TX035221301Medicaid
TXC12954Medicare UPIN