Active NPI
Lifestyle Bariatrics and Vascular Health
- Surgery Physician
- Fort Worth, TX
National Provider Identifier
1053228130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- LIFESTYLE BARIATRICS AND VASCULAR HEALTH
- Practice address
- 9525 N Beach St Ste 405
Fort Worth, TX 76244-6438 - Phone
- (972) 342-5105
- NPI assigned
- Aug 25, 2026
- Last updated
- Aug 25, 2026
- 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
- Arsalla Islam, M.D.
- Title
- Managing Member
- Phone
- (972) 342-5105
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary | |
| Vascular Surgery Physician | 2086S0129X | NU |
Addresses
Primary practice location
9525 N Beach St Ste 405
Fort Worth, TX 76244-6438
Mailing address
812 Charleston Dr
Southlake, TX 76092-1534
Phone (972) 342-5105
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1053228130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 CHARLESTON DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921534",
"telephone_number": "972-342-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9525 N BEACH ST STE 405",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446438",
"telephone_number": "972-342-5105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTYLE BARIATRICS AND VASCULAR HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "ARSALLA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "972-342-5105",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Life With Tarneisha, LLC
- Lifecycle Dental Resource Inc. (Lifecycle dental)
- Lifeforce Opportunity Inc
- Lifeguard Aeromed Inc.
- Lifelink of Texas LLC (LifeLink)
- Lifestyle Transitions, PLLC
- Lifetime and Cosmetic Dentistry
- Lifevantage House Calls PLLC
- Lifewise Counseling and Wellness, LLC
- Light Bright Counseling Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.