Healthcare Provider Details

I. General information

NPI: 1154090264
Provider Name (Legal Business Name): ALYSON PAIGE BARTON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2021
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W ARBROOK BLVD STE 101
ARLINGTON TX
76014-3175
US

IV. Provider business mailing address

3021 PIN OAK LN
BEDFORD TX
76021-2814
US

V. Phone/Fax

Practice location:
  • Phone: 817-801-1456
  • Fax:
Mailing address:
  • Phone: 817-307-6286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1056687
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1056687
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: