Most Relevant Information
Provider Data
| NPI Number: | 1003434143 |
| Provider Name: | SIDUK ARROYO-BOULTER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 83349 |
Most Important Dates
| Enumeration Date: | 07/06/2020 |
| Last Updated: | 07/06/2020 |
Provider Practice Location
1221 ABRAMS RD STE 325
RICHARDSON
TX
750815579
Practice Location Phone/Fax
| Phone: | 4696197622 |
| Fax: |
Provider Mailing Location
1221 ABRAMS RD STE 325
RICHARDSON
TX
750815579
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |