Active NPI
Trevor Tice, PA-C
- Medical Physician Assistant
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA17968
- Practice address
- 400 W Arbrook Blvd Ste 320
Arlington, TX 76014-3180 - Phone
- (866) 552-4866
- NPI assigned
- Mar 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA17968 | TX | Primary |
Addresses
Primary practice location
400 W Arbrook Blvd Ste 320
Arlington, TX 76014-3180
Mailing address
12221 Merit Dr Ste 620
Dallas, TX 75251-3222
Phone (866) 552-4866
Other practice location 1
800 Medical Center Dr
Decatur, TX 76234-3843
Phone (940) 626-2110
Other practice location 2
512 W Bonds Ranch Rd Ste 150
Fort Worth, TX 76131-3915
Phone (866) 552-4866
Other practice location 3
4616 US Hwy 75 Ste 170
Denison, TX 75020-4582
Phone (866) 552-4866
Other practice location 4
4450 Sojourn Dr Ste 200
Addison, TX 75001-5000
Phone (866) 552-4866
Other practice location 5
2101 Westpark Ct Ste 320
Euless, TX 76040-3733
Phone (866) 552-4866
Other practice location 6
1030 S Coit Rd Ste A
Prosper, TX 75078-2950
Phone (866) 552-4866
Other practice location 7
2777 E Southlake Blvd Ste 140
Southlake, TX 76092-8017
Phone (866) 552-4866
Other practice location 8
2701 S Hampton Rd Ste 220B
Dallas, TX 75224-2363
Phone (866) 552-4866
Other practice location 9
6149 Windhaven Pkwy Ste 130
Plano, TX 75093-8298
Phone (866) 552-4866
Other practice location 10
4441 Long Prairie Rd Ste 400
Flower Mound, TX 75028-5410
Phone (866) 552-4866
Other practice location 11
3400 Interstate Highway 30 Ste 180
Mesquite, TX 75150-2601
Phone (866) 552-4866
Other practice location 12
8080 State Highway 121 Ste 200
McKinney, TX 75070-2902
Phone (866) 552-4866
Other practice location 13
17051 Dallas Pkwy Ste 220
Addison, TX 75001-7145
Phone (866) 552-4866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2150 N Josey LN
Suite 202
Carrollton, TX 75006-2912
Phone (972) 242-0660
400 W Arbrook Blvd
Suite 201
Arlington, TX 76014-3176
Phone (817) 467-1990
400 W Arbrook Blvd
Suite 320
Arlington, TX 76014-3180
Phone (866) 552-4866
512 W Bonds Ranch Rd
Suite 150
Fort Worth, TX 76131-3915
Phone (866) 552-4866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Partners PLLC | Current | Accepting new patients | |
| Interventional Partners PLLC | Current | Accepting new patients | |
| Morris Healthcare & Associates, PLLC | Past | Accepting new patients |
Locations
17051 Dallas Pkwy
Ste 220
Addison, TX 75001
4450 Sojourn Dr
Ste 200
Addison, TX 75001
Phone (469) 850-5760
400 W Arbrook Blvd
Ste 320
Arlington, TX 76014
400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990
461 Highlander Blvd Ste 171
Arlington, TX 76014
461 Highlander Blvd Ste 141
Arlington, TX 76014
2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660
2701 S Hampton Rd
Ste 220B
Dallas, TX 75224
3107 W Camp Wisdom Rd
Ste 110
Dallas, TX 75237
Phone (214) 765-2222
4616 US Highway 75
Ste 170
Denison, TX 75020
Phone (866) 946-4085
2101 Westpark Ct
Ste 320
Euless, TX 76040
Phone (214) 935-5177
512 W Bonds Ranch Rd
Ste 150
Fort Worth, TX 76131
Phone (817) 488-6369
5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161
8080 State Highway 121
Ste 200
McKinney, TX 75070
Phone (972) 359-0733
3400 Interstate 30
Ste 180
Mesquite, TX 75150
6149 Windhaven Pkwy
Ste 130
Plano, TX 75093
Phone (972) 881-1320
1030 S Coit Rd
Ste A
Prosper, TX 75078
2777 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (817) 488-7511
251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440
Interoperability endpoints
- trevor.tice.1@2477.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Addison, TX
- NPI 1750814737
-
- Family Medicine Physician
- Decatur, TX
- NPI 1962677740
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1891513677
-
- Family Nurse Practitioner
- Flower Mound, TX
- NPI 1093223133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1245097799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 MERIT DR STE 620",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513222",
"telephone_number": "866-552-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W ARBROOK BLVD STE 320",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760143180",
"telephone_number": "866-552-4866"
}
],
"practiceLocations": [
{
"address_1": "800 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "TX",
"postal_code": "762343843",
"country_code": "US",
"telephone_number": "940-626-2110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "512 W Bonds Ranch Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761313915",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4616 US Hwy 75 Ste 170",
"address_purpose": "LOCATION",
"city": "Denison",
"state": "TX",
"postal_code": "750204582",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4450 Sojourn Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750015000",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Westpark Ct Ste 320",
"address_purpose": "LOCATION",
"city": "Euless",
"state": "TX",
"postal_code": "760403733",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1030 S Coit Rd Ste A",
"address_purpose": "LOCATION",
"city": "Prosper",
"state": "TX",
"postal_code": "750782950",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2777 E Southlake Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760928017",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2701 S Hampton Rd Ste 220B",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752242363",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6149 Windhaven Pkwy Ste 130",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938298",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4441 Long Prairie Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Flower Mound",
"state": "TX",
"postal_code": "750285410",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Interstate Highway 30 Ste 180",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751502601",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8080 State Highway 121 Ste 200",
"address_purpose": "LOCATION",
"city": "McKinney",
"state": "TX",
"postal_code": "750702902",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17051 Dallas Pkwy Ste 220",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750017145",
"country_code": "US",
"telephone_number": "866-552-4866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TICE",
"first_name": "TREVOR",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-01",
"last_updated": "2025-01-09",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA17968",
"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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.