Access 360 Care INC
Internal Medicine in Arlington, TX. Organization (NPI-2).
NPI number1962156802
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1962156802
- Entity type
- Organization (NPI-2)
- Legal business name
- Access 360 Care INC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Ntx 360 Care (Doing Business As)
Practice location
4381 W Green Oaks Blvd Ste 103Arlington, TX 76016-4495
Phone 817-200-4469
Mailing address
Po Box 150569Arlington, TX 76015-6569
Phone 682-302-0306 · Fax 682-334-7087
Authorized official
Todd L Petelski
Owner
8172004469
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