Healthcare Provider Details

I. General information

NPI: 1447335559
Provider Name (Legal Business Name): ARLINGTON NEPHROLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3295 S COOPER ST STE 131
ARLINGTON TX
76015-2363
US

IV. Provider business mailing address

3295 S COOPER ST STE 131
ARLINGTON TX
76015-2363
US

V. Phone/Fax

Practice location:
  • Phone: 817-557-0099
  • Fax: 817-417-7266
Mailing address:
  • Phone: 817-557-0099
  • Fax: 817-417-7266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number00966N
License Number StateTX

VIII. Authorized Official

Name: BHASKER RAI MEHTA
Title or Position: OWNER
Credential:
Phone: 817-557-0099