Archer, Cullen John
Archer, Cullen John is an individual health care provider with primary practice located at 3301 Matlock Rd , Arlington TX 76015-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Archer, Cullen John can be contacted via phone (682) 509-6200.Contact Information
Primary practice address
3301 Matlock Rd
Arlington TX 76015-2908
Phone: (682) 509-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 37095 | Oklahoma |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 7257858-1205 | Utah |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | L6769 | Texas |
Profile Details
| NPI number | 1376534875 |
|---|---|
| LBN Legal business name | Archer, Cullen John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376534875 | NPPES |
| Utah | MEDICAID | 1376534875 |
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