Organization Active NPI

Open Arms Healthcare of Texas Inc.

  • Medical Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1396210423
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
OPEN ARMS HEALTHCARE OF TEXAS INC.
Practice address
6909 Lake June Rd
Dallas, TX 75217-1325
Phone
(214) 391-1900
Fax
(214) 391-1914
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Andrea Carrillo
Title
Regional Director
Phone
(817) 831-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6909 Lake June Rd
Dallas, TX 75217-1325

Mailing address

8150 Springwood Dr # 150B
Irving, TX 75063-5810
Phone (214) 396-7397

Other names 1

  • Medico MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1396210423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 SPRINGWOOD DR # 150B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635810",
            "telephone_number": "214-396-7397",
            "fax_number": "214-396-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171325",
            "telephone_number": "214-391-1900",
            "fax_number": "214-391-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS HEALTHCARE OF TEXAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "817-831-6500"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medico MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medico MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

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