Organization Active NPI

MB Healthcare & Associates, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Arlington, TX
National Provider Identifier
1063762912
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H 6063 Issued in TX
Legal business name
MB HEALTHCARE & ASSOCIATES, PLLC
Practice address
2819 Medlin Dr
Arlington, TX 76015-2329
Phone
(817) 303-6800
Fax
(817) 303-6832
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Michael Boothe, MD
Title
Owner/Provider
Phone
(817) 303-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X H 6063 TX Primary

Addresses

Primary practice location

2819 Medlin Dr
Arlington, TX 76015-2329

Mailing address

PO Box 14006
Arlington, TX 76094-1006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1063762912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14006",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760941006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MEDLIN DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152329",
            "telephone_number": "817-303-6800",
            "fax_number": "817-303-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB HEALTHCARE & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-303-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H 6063",
            "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 Apr 3, 2013; 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.