=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881886828
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTH TEXAS INTERNAL MEDICINE ASSOCIATES PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2007
-----------------------------------------------------
Last Update Date | 03/12/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 901-B MEDICAL CENTRE DR.
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76012-4700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-460-1833
-----------------------------------------------------
Fax | 817-460-1835
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 901-B MEDICAL CENTRE DR.
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76012-4700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-460-1833
-----------------------------------------------------
Fax | 817-460-1835
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR/OWNER
-----------------------------------------------------
Name | MR. AJAY SOBTI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 817-460-1833
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | H1843
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------