Individual provider · NPI-1

Joseph Arman Bongco Aquino, MD

Student in an Organized Health Care Education/Training Program · Texarkana, AR

NPI number1407644917
StatusActive
Last updated in NPPESApr 26, 2025

Details

NPI
1407644917
Entity type
Individual (NPI-1)
Name
Joseph Arman Bongco Aquino
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2025
Certification date
Apr 26, 2025
Last updated
Apr 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000

Mailing address

3417 U Of A Way
Texarkana, AR 71854-1419

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