Healthcare Provider Details

I. General information

NPI: 1861604746
Provider Name (Legal Business Name): ARLINGTON PHYSICIANS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 INTERSTATE 20 W SUITE 30G
ARLINGTON TX
76017-5870
US

IV. Provider business mailing address

PO BOX 120069
ARLINGTON TX
76012-0069
US

V. Phone/Fax

Practice location:
  • Phone: 817-465-1171
  • Fax: 817-465-6044
Mailing address:
  • Phone: 817-274-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH A HALEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 817-274-1999