Active NPI
Complex Healthcare Physicians Group Inc
- Vascular Surgery Physician
- Arlington, TX
National Provider Identifier
1730818527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- COMPLEX HEALTHCARE PHYSICIANS GROUP INC
- Practice address
- 4201 Interway PL Ste 100
Arlington, TX 76018-5668 - Phone
- (817) 735-1180
- NPI assigned
- Jun 7, 2022
- 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
- Mr. Glenn Hermes Jr.
- Title
- President
- Phone
- (817) 735-1180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
4201 Interway PL Ste 100
Arlington, TX 76018-5668
Mailing address
4201 Interway PL Ste 100
Arlington, TX 76018-5668
Phone (817) 735-1180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4201 Interway Pl
Ste 100
Arlington, TX 76018
Phone (817) 735-1180
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Garland, TX
- NPI 1780613240
-
- Vascular Surgery Physician
- Arlington, TX
- NPI 1619976628
-
- Surgical Physician Assistant
- Dallas, TX
- NPI 1437631512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1730818527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 INTERWAY PL STE 100",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760185668",
"telephone_number": "817-735-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 INTERWAY PL STE 100",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760185668",
"telephone_number": "817-735-1180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLEX HEALTHCARE PHYSICIANS GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-07",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "HERMES",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-735-1180",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
- Compassionate Choice Healthcare Services LLC
- Compassionate Hearts Home Health Care LLC
- Complete Care Home Health
- Complete Emergency Care Arlington LLC
- Complete Health at Green Oaks PLLC
- Complex Healthcare Solutions, LLC
- Comprehensive Medical Services of Texas,LLC
- Brenda Compton
- Joshua Compton
- Comrade Home Care LLC (Comrade Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.