Active NPI
Covenant Health Services
- Registered Respiratory Therapist
- Arlington, TX
National Provider Identifier
1043490741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 69975
- Legal business name
- COVENANT HEALTH SERVICES
- Practice address
- 7923 Decoy Dr
Arlington, TX 76002-4549 - Phone
- (817) 909-9842
- NPI assigned
- Nov 9, 2007
- 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
- Derrick Lynn Gillians, RRT
- Title
- RRT/Owner
- Phone
- (817) 909-9842
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 69975 | TX | Primary |
Addresses
Primary practice location
7923 Decoy Dr
Arlington, TX 76002-4549
Mailing address
7923 Decoy Dr
Arlington, TX 76002-4549
Phone (817) 909-9842
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1043490741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7923 DECOY DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024549",
"telephone_number": "817-909-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7923 DECOY DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024549",
"telephone_number": "817-909-9842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-09",
"last_updated": "2007-11-09",
"status": "A",
"authorized_official_last_name": "GILLIANS",
"authorized_official_first_name": "DERRICK",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "RRT/OWNER",
"authorized_official_telephone_number": "817-909-9842",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": "TX",
"license": "69975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.