Active NPI
Southwest Arlington Medical Clinic, P.a.
- Family Medicine Physician
- Pantego, TX
National Provider Identifier
1457580805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F4157
- Legal business name
- SOUTHWEST ARLINGTON MEDICAL CLINIC, P.A.
- Practice address
- 2313 W Arkansas LN Ste 100
Pantego, TX 76013-6034 - Phone
- (817) 261-3302
- Fax
- (817) 277-0674
- NPI assigned
- Jul 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert C Kent, D.O.
- Title
- Doctor
- Phone
- (817) 261-3302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F4157 | TX | Primary |
Addresses
Primary practice location
2313 W Arkansas LN Ste 100
Pantego, TX 76013-6034
Mailing address
2313 W Arkansas LN Ste 100
Pantego, TX 76013-6034
Phone (817) 261-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097LX | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2313 W Arkansas Ln
Ste 100
Pantego, TX 76013
Phone (817) 261-3302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Arlington, TX
- NPI 1205920634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1457580805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 W ARKANSAS LN STE 100",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760136034",
"telephone_number": "817-261-3302",
"fax_number": "817-277-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 W ARKANSAS LN STE 100",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760136034",
"telephone_number": "817-261-3302",
"fax_number": "817-277-0674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST ARLINGTON MEDICAL CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-07",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "KENT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "817-261-3302",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "F4157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0097LX",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.