Promed Management Services Organization, LP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROMED MANAGEMENT SERVICES ORGANIZATION, LP

Practice address

4201 Interway PL
Arlington, TX 76018-5668

Phone

(817) 438-6776

Fax

(469) 663-5516

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Marc Demyun, MD

Title

Medical Director

Phone

(570) 690-3451

Specialties & licenses 1

Addresses

Other names 2

• ProMED Longevity & Primary Care Doing business as
• ProMED Primary Care Doing business as

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1386575728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 INTERWAY PL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185668",
            "telephone_number": "817-438-6776",
            "fax_number": "469-663-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 INTERWAY PL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185668",
            "telephone_number": "817-438-6776",
            "fax_number": "469-663-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED MANAGEMENT SERVICES ORGANIZATION, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "DEMYUN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-690-3451",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMED Longevity & Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMED Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.