Organization Active NPI

Arlington Primary Medicine PLLC

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1932374253
Registry record updated Feb 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARLINGTON PRIMARY MEDICINE PLLC
Practice address
920 Highway 287 N
Ste 300
Mansfield, TX 76063-2627
Phone
(817) 539-0770
Fax
(817) 539-0772
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2009

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

Authorized official

Name
Jeff Henderson
Title
President
Phone
(972) 401-8726

Specialties & licenses 1

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

Addresses

Primary practice location

920 Highway 287 N
Ste 300
Mansfield, TX 76063-2627

Mailing address

920 Highway 287 N
Ste 300
Mansfield, TX 76063-2627
Phone (817) 539-0770

Other identifiers 2

IdentifierTypeStateIssuer
0010RHOtherTXBLUE CROSS BLUE SHIELD
197911401MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234569600000",
    "number": "1932374253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HIGHWAY 287 N",
            "address_2": "STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632627",
            "telephone_number": "817-539-0770",
            "fax_number": "817-539-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HIGHWAY 287 N",
            "address_2": "STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632627",
            "telephone_number": "817-539-0770",
            "fax_number": "817-539-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PRIMARY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2009-02-14",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-401-8726"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0010RH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197911401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2009; 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.