Citimed, P.a.

Organization Active NPI Family Medicine Physician · Arlington, TX

NPI 1487823316 · NPPES record last updated Jun 6, 2011

Key facts

NPI
1487823316
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
J9103 (TX)
Legal business name
CITIMED, P.A.
Practice address
4401 Little Rd Ste 520
Arlington, TX 76016-5621
Phone
(817) 572-9890
Fax
(817) 572-9887
NPI assigned
Feb 25, 2008
Organization subpart
No

Authorized official

Name
Dr. Pohn Paul Inthanousay, D.O.
Title
Owner
Phone
(817) 572-9890

Practitioners 157

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 157

National Provider Directory

Locations

3310 S Watson Rd
Arlington, TX 76014
Phone (817) 704-6930

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X J9103 TX Yes

Addresses

Primary practice location

4401 Little Rd Ste 520
Arlington, TX 76016-5621

Mailing address

4401 Little Rd Ste 520
Arlington, TX 76016-5621
Phone (817) 572-9890

Other identifiers

IdentifierTypeStateIssuer
8H8600OtherTXBLUECROSS AND BLUESHIELD
139893530MedicaidTX

Other providers in Arlington, TX

All providers in Arlington, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.