NPIMap

Organization Active NPI

Rusty a. Mlhoan, MD PA

  • Surgery Physician
  • Arlington, TX
National Provider Identifier
1841463528
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H1303 Issued in TX
Legal business name
RUSTY A. MLHOAN, MD PA
Practice address
3150 Matlock Rd
Suite 401
Arlington, TX 76015-2992
Phone
(817) 375-9790
Fax
(817) 375-9791
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Rusty Allen Mlhoan, MD
Title
President
Phone
(817) 375-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X H1303 TX Primary

Addresses

Primary practice location

3150 Matlock Rd
Suite 401
Arlington, TX 76015-2992

Mailing address

3150 Matlock Rd
Suite 401
Arlington, TX 76015-2992
Phone (817) 375-9790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1841463528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 MATLOCK RD",
            "address_2": "SUITE 401",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152992",
            "telephone_number": "817-375-9790",
            "fax_number": "817-375-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 MATLOCK RD",
            "address_2": "SUITE 401",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152992",
            "telephone_number": "817-375-9790",
            "fax_number": "817-375-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTY A. MLHOAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "MLHOAN",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-375-9790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "H1303",
            "primary": true
        }
    ],
    "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 2, 2008; 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.