Organization · Type 2 NPI

Columbia Medical Center of Arlington Subsidiary LP

Nurse Practitioner · Arlington, TX

NPI number 1356990089 Active

Practice location

3301 Matlock Rd
Arlington, TX 76015-2908

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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NPI record

NPI: 1356990089
Entity type: Organization (Type 2)
Issued: Sep 5, 2019
Last updated: Sep 5, 2019
Status: Active
Subpart: Yes of Columbia Medical Center of Arlington Subsidiary LP

Other names

Medical City Arlington House Providers · doing business as

Authorized official

Jeff Ardemagni
CFO
(682) 509-6009

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356990089

Columbia Medical Center of Arlington Subsidiary LP's National Provider Identifier is 1356990089, issued on Sep 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Arlington, TX. The record was last updated on Sep 5, 2019.