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

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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