Active NPI
Arlington Primary Care, PLLC
- Internal Medicine Physician
- Grand Prairie, TX
National Provider Identifier
1023347903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ARLINGTON PRIMARY CARE, PLLC
- Practice address
- 2950 W. Camp Wisdom Rd.
Suite 100
Grand Prairie, TX 75052 - Phone
- (972) 602-4466
- Fax
- (972) 602-4471
- NPI assigned
- Dec 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Henderson
- Title
- Vice President
- Phone
- (972) 401-8720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2950 W. Camp Wisdom Rd.
Suite 100
Grand Prairie, TX 75052
Mailing address
2950 W. Camp Wisdom Rd.
Suite 100
Grand Prairie, TX 75052
Phone (972) 602-4466
National Provider Directory
National Provider DirectoryLocations
201 W Kennedale Pkwy
#P
Kennedale, TX 76060
Phone (817) 563-2300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1356552202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1023347903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 W. CAMP WISDOM RD.",
"address_2": "SUITE 100",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75052",
"telephone_number": "972-602-4466",
"fax_number": "972-602-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 W. CAMP WISDOM RD.",
"address_2": "SUITE 100",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75052",
"telephone_number": "972-602-4466",
"fax_number": "972-602-4471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLINGTON PRIMARY CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "972-401-8720"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.