Organization Active NPI

Arlington Minor Emergency Clinic PA

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1275669541
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9242 Issued in TX
Legal business name
ARLINGTON MINOR EMERGENCY CLINIC PA
Practice address
912 E Park Row Dr
Arlington, TX 76010-4507
Phone
(817) 277-2977
Fax
(817) 277-4750
NPI assigned
Feb 23, 2007
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Kathy Sue Bair
Title
Head of Administration
Phone
(817) 962-3962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X J9242 TX Primary
Urgent Care Clinic/Center 261QU0200X J9242 TX

Addresses

Primary practice location

912 E Park Row Dr
Arlington, TX 76010-4507

Mailing address

PO Box 301085
Arlington, TX 76007-1085
Phone (817) 277-2977

Other identifiers 2

IdentifierTypeStateIssuer
3338857-01MedicaidTX
3338857-02OtherTXTEXAS HEALTH STEPS MEDICAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130903000693 TX Part B Supplier - Clinic/Group Practice 2466695887 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

912 E Park Row Dr
Arlington, TX 76010
Phone (817) 277-2977

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1275669541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301085",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760071085",
            "telephone_number": "817-277-2977",
            "fax_number": "817-277-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104507",
            "telephone_number": "817-277-2977",
            "fax_number": "817-277-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON MINOR EMERGENCY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "HEAD OF ADMINISTRATION",
        "authorized_official_telephone_number": "817-962-3962"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9242",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "J9242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3338857-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH STEPS MEDICAL",
            "identifier": "3338857-02",
            "state": "TX"
        }
    ],
    "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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.