Selective Medical Staffing of Texas LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SELECTIVE MEDICAL STAFFING OF TEXAS LLC

Practice address

3330 Matlock Rd
Suite 207
Arlington, TX 76015-2917

Phone

(903) 647-4512

Fax

(877) 753-9230

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Marisa GladenNPI 1003206152

Title

Ceo

Phone

(903) 647-4512

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Marisa Gladen, RN BSN

  • Case Management Registered Nurse
  • Arlington, TX
  • NPI 1003206152
  NPD (past) Authorized official
• Stephanie Wade, RN

  • Case Management Registered Nurse
  • Arlington, TX
  • NPI 1508257510
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306251541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MATLOCK RD",
            "address_2": "SUITE 207",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152917",
            "telephone_number": "903-647-4512",
            "fax_number": "877-753-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MATLOCK RD",
            "address_2": "SUITE 207",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152917",
            "telephone_number": "903-647-4512",
            "fax_number": "877-753-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE MEDICAL STAFFING OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLADEN",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-647-4512",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Semba, OT
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• Case Management Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.