Provider Demographics
NPI:1447996277
Name:MCARTHUR, SOPHIA DESHELL
Entity type:Individual
Prefix:MRS
First Name:SOPHIA
Middle Name:DESHELL
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SOPHIA
Other - Middle Name:DESHELL
Other - Last Name:MCARTHUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4627 ACCLAIM CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-4429
Mailing Address - Country:US
Mailing Address - Phone:210-852-6995
Mailing Address - Fax:
Practice Address - Street 1:4627 ACCLAIM CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-4429
Practice Address - Country:US
Practice Address - Phone:210-852-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No251E00000XAgenciesHome Health