NPIMap

Organization Active NPI

Ibg Healthcare Services LLC

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1871418640
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
IBG HEALTHCARE SERVICES LLC
Practice address
5201 S Cooper St Ste 111
Arlington, TX 76017-5964
Phone
(817) 468-9999
Fax
(817) 468-9733
NPI assigned
Aug 11, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Jesse Gautreaux, FNPNPI 1548876188
Title
Authorized Official
Phone
(817) 468-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

5201 S Cooper St Ste 111
Arlington, TX 76017-5964

Mailing address

3411 Bridlegate Dr
Arlington, TX 76016-3210
Phone (985) 691-4628

Other names 1

  • IBG HEALTHCARE SERVICES Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1871418640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BRIDLEGATE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163210",
            "telephone_number": "985-691-4628",
            "fax_number": "817-468-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S COOPER ST STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175964",
            "telephone_number": "817-468-9999",
            "fax_number": "817-468-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBG HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "GAUTREAUX",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-468-9999",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBG HEALTHCARE SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 11, 2026; 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.