Active NPI
Raymond Westbrook DO PA
- Internal Medicine Physician
- Arlington, TX
National Provider Identifier
1285021287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045797005 | Medicaid | TX | |
| 045797003 | Medicaid | TX | |
| 045797004 | Medicaid | TX |
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Internal Medicine Physician
- Grapevine, TX
- NPI 1164908463
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.