MEDICARE: COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1457290561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP

Provider Business Mailing Address
First Line	:	5203 LAKE RIDGE PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5203 LAKE RIDGE PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3010
Country	:	US
Telephone Number	:	682-218-5400
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LASHARNDRA BARBARIN
Credential	:
Telephone Number	:	469-370-2000

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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