Healthcare Provider Details

I. General information

NPI: 1740425206
Provider Name (Legal Business Name): ARLINGTON PLASTIC SURGEONS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2008
Last Update Date: 02/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N DAVIS DR STE B
ARLINGTON TX
76012-3202
US

IV. Provider business mailing address

1000 N DAVIS DR STE B
ARLINGTON TX
76012-3202
US

V. Phone/Fax

Practice location:
  • Phone: 817-461-1693
  • Fax: 817-275-1401
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberE5950
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberNONE
License Number StateTX

VIII. Authorized Official

Name: DR. JOSEPH WILLIAM STEPHENS III
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 817-461-1693