Healthcare Provider Details

I. General information

NPI: 1831384577
Provider Name (Legal Business Name): ARLINGTON NEUROSURGICAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 N WALDROP DR STE 401
ARLINGTON TX
76012-4703
US

IV. Provider business mailing address

1001 N WALDROP DR STE 401
ARLINGTON TX
76012-4703
US

V. Phone/Fax

Practice location:
  • Phone: 817-265-2456
  • Fax: 817-277-8308
Mailing address:
  • Phone: 817-265-2456
  • Fax: 817-277-8308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JANET L SCHROEDER
Title or Position: OFFICE MANAGER
Credential:
Phone: 817-265-2456