Organization Active NPI

Raymond Westbrook DO PA

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1285021287
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAYMOND WESTBROOK DO PA
Practice address
2701 Matlock Rd Ste 105
Arlington, TX 76015-2529
Phone
(817) 786-3040
Fax
(817) 786-3041
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Stacy Lyles Hawkins
Title
Credentialing
Phone
(361) 356-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2701 Matlock Rd Ste 105
Arlington, TX 76015-2529

Mailing address

2701 Matlock Rd Ste 105
Arlington, TX 76015-2529
Phone (817) 786-3040

Other identifiers 3

IdentifierTypeStateIssuer
045797005MedicaidTX
045797003MedicaidTX
045797004MedicaidTX

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1285021287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MATLOCK RD STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-786-3040",
            "fax_number": "817-786-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MATLOCK RD STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-786-3040",
            "fax_number": "817-786-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND WESTBROOK DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LYLES",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "361-356-3110"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045797005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045797003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045797004",
            "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 10, 2018; 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.