Healthcare Provider Details

I. General information

NPI: 1659352987
Provider Name (Legal Business Name): USMD HOSPITAL AT ARLINGTON, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 04/20/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 INTERSTATE 20 W
ARLINGTON TX
76017-5851
US

IV. Provider business mailing address

801 W INTERSTATE 20
ARLINGTON TX
76017-5851
US

V. Phone/Fax

Practice location:
  • Phone: 817-472-3400
  • Fax: 817-472-3710
Mailing address:
  • Phone: 817-472-3400
  • Fax: 817-472-3536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number007990
License Number StateTX

VIII. Authorized Official

Name: DR. RONNIE URSIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DNP, FACHE
Phone: 817-472-3535