Organization Active NPI

Arlington Family Health Pavilion, PA

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1992764369
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARLINGTON FAMILY HEALTH PAVILION, PA
Practice address
707 N Fielder Rd
#A
Arlington, TX 76012
Phone
(817) 277-2671
Fax
(817) 460-3004
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Jill Melanie Breaux
Title
Business MGR
Phone
(817) 277-2671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X TX Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X TX

Addresses

Primary practice location

707 N Fielder Rd
#A
Arlington, TX 76012

Mailing address

707 N Fielder Rd
#A
Arlington, TX 76012-4636
Phone (817) 277-2671

National Provider Directory

National Provider Directory

Locations

707 N Fielder Rd
Ste A
Arlington, TX 76012
Phone (817) 261-3561

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1992764369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N FIELDER RD",
            "address_2": "#A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124636",
            "telephone_number": "817-277-2671",
            "fax_number": "817-460-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N FIELDER RD",
            "address_2": "#A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76012",
            "telephone_number": "817-277-2671",
            "fax_number": "817-460-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON FAMILY HEALTH PAVILION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MELANIE",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "817-277-2671"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 26, 2010; 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.