Provider Demographics
NPI:1861620288
Name:ARNOLD, LUCIA LYNETTE (PA-C MPAS)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:LYNETTE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PA-C MPAS
Other - Prefix:
Other - First Name:LUCIA
Other - Middle Name:LYNETTE
Other - Last Name:MANGLE ARNOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C MPAS
Mailing Address - Street 1:106 WESTHEIMER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-3332
Mailing Address - Country:US
Mailing Address - Phone:281-542-9400
Mailing Address - Fax:281-542-9461
Practice Address - Street 1:7106 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-1806
Practice Address - Country:US
Practice Address - Phone:281-542-9400
Practice Address - Fax:281-542-9461
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03895363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant