Provider Type Icon

KIMBERLY UDELL D.O. P.A. NPI 1013103191


NPI Information

NPI: 1013103191
Provider Name: KIMBERLY UDELL D.O., P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3602 MATLOCK RD STE 206
ARLINGTON, TX
ZIP 76015
Phone: (817) 468-1506
Get Directions

KIMBERLY UDELL D.O., P.A. is a specialist in Arlington, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KIMBERLY UDELL D.O., P.A. NPI is 1013103191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3602 MATLOCK RD STE 206
ARLINGTON, TX
ZIP 76015-600
Phone: (817) 468-1506
Fax: (817) 468-1520

The provider's authorized official is Kimberly Udell .
The authorized official title is Physician and has the following contact phone number (817) 468-1506.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 1/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistL1225TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1165666201MEDICAIDTEXAS
28P5630OTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.