Organization Active NPI

Arlington Premier Health Clinic PA

  • Internal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1023010386
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5368 Issued in TX
Legal business name
ARLINGTON PREMIER HEALTH CLINIC PA
Practice address
845 Desco LN
Grand Prairie, TX 75051-1685
Phone
(817) 465-4141
Fax
(855) 862-9350
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Liz A Alaniz
Title
Office Manager
Phone
(817) 465-4141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X J7772 TX
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X K5368 TX Primary

Addresses

Primary practice location

845 Desco LN
Grand Prairie, TX 75051-1685

Mailing address

845 Desco LN
Grand Prairie, TX 75051-1685
Phone (817) 465-4141

Other identifiers 13

IdentifierTypeStateIssuer
110176762OtherTXRR MEDICARE T DAO
5787151OtherTXCIGNA PROV T DAO
84540SOtherTXBCBS PROV NUMBER T DAO
1848499OtherTXUHC PROVIDER # T DAO
91145876OtherTXWAUSAU PROV # T DAO
J7772OtherTXUNICARE DR MICHAEL V DAO
2079885OtherTXAETNA PROVIDER #
132930100OtherTXNPPN2 DR MICHAEL V DAO
0059554OtherTXPACIFICARE PPO T DAO
84541SOtherTXBCBS PROV # M DAO
5907540OtherTXCIGNA DR MICHAEL V DAO
91145876OtherTXWAUSAU DR MICHAEL V DAO
K5368OtherTXUNICARE PROV # T DAO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061122000273 TX Part B Supplier - Clinic/Group Practice 7517965783 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2129260Arlington Premier Health Clinic845 Desco Lane, Grand Prairie, TX 75051Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Locations

501 Rita Ln
Arlington, TX 76014

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1023010386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 DESCO LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511685",
            "telephone_number": "817-465-4141",
            "fax_number": "855-862-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 DESCO LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511685",
            "telephone_number": "817-465-4141",
            "fax_number": "855-862-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PREMIER HEALTH CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "ALANIZ",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-465-4141",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7772",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE T DAO",
            "identifier": "110176762",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV T DAO",
            "identifier": "5787151",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER T DAO",
            "identifier": "84540S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER # T DAO",
            "identifier": "1848499",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU PROV # T DAO",
            "identifier": "91145876",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE DR MICHAEL V DAO",
            "identifier": "J7772",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "2079885",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPN2 DR MICHAEL V DAO",
            "identifier": "132930100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PPO T DAO",
            "identifier": "0059554",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV # M DAO",
            "identifier": "84541S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DR MICHAEL V DAO",
            "identifier": "5907540",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU DR MICHAEL V DAO",
            "identifier": "91145876",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PROV # T DAO",
            "identifier": "K5368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.