MEDICARE: USMD HOSPITAL AT ARLINGTON, L.P.

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	282N00000X	General Acute Care Hospital	007990	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	193276	OTHER	TX	AMERIGROUP
2	7364801	OTHER	TX	CIGNA
3	0101690002	OTHER	TX	PACIFICARE
4	7550393	OTHER	TX	AETNA PPO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	HH1034	OTHER	TX	BLUE CROSS
8	201062800	OTHER	TX	US DEPT OF LABOR
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	3302912	OTHER	TX	AETNA HMO

General Provider Information

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

Provider Business Mailing Address
First Line	:	801 W INTERSTATE 20
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5851
Country	:	US
Telephone Number	:	817-472-3400
Fax Number	:	817-472-3536

Provider Business Practice Location Address
First Line	:	801 INTERSTATE 20 W
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5851
Country	:	US
Telephone Number	:	817-472-3400
Fax Number	:	817-472-3710

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	04/20/2022

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Directions to “USMD HOSPITAL AT ARLINGTON, L.P. ” Practice Location

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