NPIMap

Organization Active NPI

Park Cooper Medical P.a.

  • Primary Care Clinic/Center
  • Arlington, TX
National Provider Identifier
1417310707
Registry record updated Apr 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
Q2305 Issued in TX
Legal business name
PARK COOPER MEDICAL P.A.
Practice address
801 W Park Row Dr
Arlington, TX 76013-3904
Phone
(682) 777-3627
NPI assigned
Apr 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2016

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

Authorized official

Name
Dr. Javaria Jabeen, D.O.
Title
Medical Director
Phone
(682) 777-3627

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Q2305 TX
Primary Care Clinic/Center 261QP2300X Q2305 TX Primary
Pain Clinic/Center 261QP3300X Q2305 TX
Urgent Care Clinic/Center 261QU0200X Q2305 TX

Addresses

Primary practice location

801 W Park Row Dr
Arlington, TX 76013-3904

Mailing address

801 W Park Row Dr
Arlington, TX 76013-3904
Phone (682) 777-3627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459641600000",
    "number": "1417310707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133904",
            "telephone_number": "682-777-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133904",
            "telephone_number": "682-777-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK COOPER MEDICAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A",
        "authorized_official_last_name": "JABEEN",
        "authorized_official_first_name": "JAVARIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "682-777-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "Q2305",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "Q2305",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "Q2305",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "Q2305",
            "primary": false
        }
    ],
    "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 Apr 3, 2016; 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.