DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PROMED MANAGEMENT SERVICES ORGANIZATION, LP

MEDICARE: PROMED MANAGEMENT SERVICES ORGANIZATION, LP
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1386575728
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROMED MANAGEMENT SERVICES ORGANIZATION, LP
Provider Business Mailing Address
First Line : 4201 INTERWAY PL
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-5668
Country : US
Telephone Number : 817-438-6776
Fax Number : 469-663-5516
Provider Business Practice Location Address
First Line : 4201 INTERWAY PL
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-5668
Country : US
Telephone Number : 817-438-6776
Fax Number : 469-663-5516
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : MARC DEMYUN
Credential : MD
Telephone Number : 570-690-3451
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

Similar Medicare Providers

1619976628 — JON SENKOWSKY MD
Practice Location Address:
4201 INTERWAY PL
ARLINGTON, TX
76018-5668
Practice Phone: 817-735-1180
Practice Fax: 866-861-2145
1881681211 — MRS. WANDA SOLIS MD
Practice Location Address:
4201 INTERWAY PL
ARLINGTON, TX
76018-5668
Practice Phone: 817-652-8994
Practice Fax: 817-652-3011
1841239738 — KIMBERLY R NEELY GNP
Practice Location Address:
4201 INTERWAY PL
ARLINGTON, TX
76018-5668
Practice Phone: 972-978-2317
Practice Fax: 800-782-4295
1700423233 — COMPLEX HEALTHCARE SOLUTIONS, LLC
Practice Location Address:
4201 INTERWAY PL
ARLINGTON, TX
76018-5668
Practice Phone: 817-735-1180
Practice Fax:
1730818527 — COMPLEX HEALTHCARE PHYSICIANS GROUP INC
Practice Location Address:
4201 INTERWAY PL STE 100
ARLINGTON, TX
76018-5668
Practice Phone: 817-735-1180
Practice Fax:
1235813114 — ADVANCED HEALTH REVISION PLLC
Practice Location Address:
4201 INTERWAY PL
ARLINGTON, TX
76018-5668
Practice Phone: 972-978-2317
Practice Fax: 800-782-4295

Directions to “PROMED MANAGEMENT SERVICES ORGANIZATION, LP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.