| Arlington Minor Emergency Clinic Pa | |
|
912 E Park Row Dr Arlington TX 76010-4507 | |
| (817) 277-2977 | |
| (817) 277-4750 |
| Full Name | Arlington Minor Emergency Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 912 E Park Row Dr, Arlington, Texas |
| Authorized Official Name and Position | Thao Qui Nguyen (DOCTOR) |
| Authorized Official Contact | 8172772977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlington Minor Emergency Clinic Pa Po Box 301085 Arlington TX 76007-1085 Ph: (817) 277-2977 | Arlington Minor Emergency Clinic Pa 912 E Park Row Dr Arlington TX 76010-4507 Ph: (817) 277-2977 |
| NPI Number | 1275669541 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 03/15/2017 |
| Medicare PECOS PAC ID | 2466695887 |
|---|---|
| Medicare Enrollment ID | O20130903000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275669541 | NPI | - | NPPES |
| 3338857-01 | Medicaid | TX | |
| 3338857-02 | Other | TX | TEXAS HEALTH STEPS MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J9242 (Texas) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | J9242 (Texas) | Secondary |
| Provider Name | Thao Q Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255513768 PECOS PAC ID: 8628220654 Enrollment ID: I20121220000105 |
| Provider Name | Nhan Chi Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174742365 PECOS PAC ID: 8527201953 Enrollment ID: I20130904000022 |
| Provider Name | Tram T Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063404440 PECOS PAC ID: 2567605827 Enrollment ID: I20130905000600 |
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