NPIMap

Organization Active NPI

Open Arms Healthcare of Texas Inc.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1467921346
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPEN ARMS HEALTHCARE OF TEXAS INC.
Doing business as
Medico MD
Practice address
2304 W Illinois Ave
Dallas, TX 75224-1638
Phone
(214) 337-7200
Fax
(214) 337-7206
NPI assigned
Nov 20, 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
Executive Director
Phone
(817) 831-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2304 W Illinois Ave
Dallas, TX 75224-1638

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
Tax ID family
Medico MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1467921346",
    "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": "2304 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241638",
            "telephone_number": "214-337-7200",
            "fax_number": "214-337-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS HEALTHCARE OF TEXAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "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": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-831-6500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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.