Organization Active NPI

Serrano Medical Clinic PA

  • Clinic/Center
  • Arlington, TX
National Provider Identifier
1043601487
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
F1988 Issued in TX
Legal business name
SERRANO MEDICAL CLINIC PA
Practice address
100 W Pioneer Pkwy
Suite 114
Arlington, TX 76010-6131
Phone
(817) 303-3396
Fax
(817) 275-7354
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Dr. Antonio Panganiban Serrano, M.D.
Title
President
Phone
(817) 303-3396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X F1988 TX Primary

Addresses

Primary practice location

100 W Pioneer Pkwy
Suite 114
Arlington, TX 76010-6131

Mailing address

100 W Pioneer Pkwy
Suite 114
Arlington, TX 76010-6131
Phone (817) 303-3396

National Provider Directory

National Provider Directory

Locations

100 W Pioneer Pkwy
Ste 114
Arlington, TX 76010
Phone (817) 303-3396

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1043601487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PIONEER PKWY",
            "address_2": "SUITE 114",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106131",
            "telephone_number": "817-303-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W PIONEER PKWY",
            "address_2": "SUITE 114",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106131",
            "telephone_number": "817-303-3396",
            "fax_number": "817-275-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRANO MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "PANGANIBAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-303-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "F1988",
            "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 Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.