Organization Active NPI

South Arlington Primary Care Associates, P.a.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1336283613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH ARLINGTON PRIMARY CARE ASSOCIATES, P.A.
Practice address
811 Interstate 20 W
Arlington, TX 76017-5870
Phone
(817) 419-8244
NPI assigned
Feb 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Liza M Gonzalez
Title
Office Manager
Phone
(817) 419-8244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

811 Interstate 20 W
Arlington, TX 76017-5870

Mailing address

811 Interstate 20 W
Arlington, TX 76017-5870
Phone (817) 419-8244

National Provider Directory

National Provider Directory

Locations

811 W Interstate 20
Arlington, TX 76017
Phone (817) 404-4811

811 W Interstate 20
Ste 22
Arlington, TX 76017
Phone (817) 419-8244

Practitioners & affiliated clinicians

Practitioners 4

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336283613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 INTERSTATE 20 W",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175870",
            "telephone_number": "817-419-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 INTERSTATE 20 W",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175870",
            "telephone_number": "817-419-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARLINGTON PRIMARY CARE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-419-8244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.