South Arlington Family Health Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K3883 Issued in TX

Legal business name

SOUTH ARLINGTON FAMILY HEALTH CLINIC PA

Practice address

1600 N Highway 287
Suite 102
Mansfield, TX 76063-8853

Phone

(817) 453-5001

NPI assigned

Sep 4, 2007

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Ybarra, MD

Title

President

Phone

(817) 453-5001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1962696898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 SHILOH RD",
            "address_2": "SUITE 701",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032419",
            "telephone_number": "903-581-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N HIGHWAY 287",
            "address_2": "SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638853",
            "telephone_number": "817-453-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARLINGTON FAMILY HEALTH CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-453-5001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.