MEDICARE: TARRANT MEDICAL ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	F4307	TX

General Provider Information

NPI Number	:	1245780378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARRANT MEDICAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 170909
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76003-0909
Country	:	US
Telephone Number	:	817-496-0766
Fax Number	:	817-496-6787

Provider Business Practice Location Address
First Line	:	4790 LITTLE RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1058
Country	:	US
Telephone Number	:	817-496-0766
Fax Number	:	817-496-6787

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. ARNOLD J MORRIS JR.
Credential	:	M. D.
Telephone Number	:	817-496-0766

Provider Enumeration Date	:	10/13/2016
Last Update Date	:	03/23/2017

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