Organization · NPI-2

Arlington Primary Care, PLLC

Internal Medicine · Grand Prairie, TX

NPI number1023347903

StatusActive

Last updated in NPPESDec 23, 2009

Details

NPI: 1023347903
Entity type: Organization (NPI-2)
Legal business name: Arlington Primary Care, PLLC
Organization subpart: No
Enumeration date: Dec 23, 2009
Last updated: Dec 23, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes

Practice location

2950 W. Camp Wisdom Rd.
Suite 100
Grand Prairie, TX 75052

Phone 972-602-4466 · Fax 972-602-4471

Mailing address

2950 W. Camp Wisdom Rd.
Suite 100
Grand Prairie, TX 75052

Phone 972-602-4466 · Fax 972-602-4471

Authorized official

Jeff Henderson
Vice President
9724018720

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.