Little Road Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160190 Issued in TX

Legal business name

LITTLE ROAD MEDICAL CENTER

Practice address

4747 Little Rd
Arlington, TX 76017-1059

Phone

(972) 899-6625

NPI assigned

Aug 24, 2015

Organization subpart

Yes

Parent organization

FIRST CHOICE EMERGENCY ROOMAs reported in NPPES

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

Authorized official

Name

Tim Fielding

Title

Cfo

Phone

(972) 899-6625

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Little Road Medical Center

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1073980231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171059",
            "telephone_number": "972-899-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROAD MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE EMERGENCY ROOM",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6625"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACHO",
            "identifier": "434148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquel Lira
• Riley Liss
• Carla A Lisson-Smith, D.M.D
• Listening Place, PLLC
• Little Road Dental Group, PA
• Jackson Vaughan Littlejohn, MD
• Tamla Littleton
• Cam Liu, RN, BSN
• Gwo Bin Liu, O.D.
• Kathleen Dianne Lively, LMSW-AP, LCPPA

• Emergency Care Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.