Organization Active NPI

Mid-Cities Arthritis Clinic, PA

  • Rheumatology Physician
  • Bedford, TX
National Provider Identifier
1184822470
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
J8412 Issued in TX
Legal business name
MID-CITIES ARTHRITIS CLINIC, PA
Practice address
1260 Harwood Rd
Bedford, TX 76021-4244
Phone
(817) 358-0100
Fax
(817) 358-0125
NPI assigned
Jul 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Thuan Quang Vu, MDNPI 1366407918
Title
President
Phone
(817) 358-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X J8412 TX Primary

Addresses

Primary practice location

1260 Harwood Rd
Bedford, TX 76021-4244

Mailing address

1260 Harwood Rd
Bedford, TX 76021-4244
Phone (817) 358-0100

Other identifiers 1

IdentifierTypeStateIssuer
DG3981OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110210000051 TX Part B Supplier - Clinic/Group Practice 9537349436 Receives reassigned benefits from 2 practitioners
Practice locations: Bedford, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0908562Mid-Cities Arthritis Clinic PA1260 Harwood Road, Bedford, TX 76021Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1184822470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214244",
            "telephone_number": "817-358-0100",
            "fax_number": "817-358-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214244",
            "telephone_number": "817-358-0100",
            "fax_number": "817-358-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITIES ARTHRITIS CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "THUAN",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-358-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "J8412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG3981",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.