MYCLINIC LLC NPI 1154628170

NPI Information

NPI: 1154628170
Provider Name: MYCLINIC LLC

Doing Business As: MY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2440 S COLLINS ST
ARLINGTON, TX
ZIP 76014
Phone: (214) 537-7615
Get Directions

MYCLINIC LLC is a family medicine in Arlington, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MYCLINIC LLC NPI is 1154628170. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As My Clinic.

The provider's business location address is:

2440 S COLLINS ST
ARLINGTON, TX
ZIP 76014-239
Phone: (214) 537-7615

The provider's authorized official is Federico Maese .
The authorized official title is President and has the following contact phone number (214) 537-7615.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 8/12/2019.

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
1	207R00000X	Internal Medicine		J4319	TEXAS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	J4319	TEXAS	No
3	207Q00000X	Family Medicine		J4319	TEXAS	Yes

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
1	0067CD	OTHER	TEXAS	MEDICARE
2	131230801	MEDICAID	TEXAS
3	J4319	OTHER	TEXAS	TEXAS STATE BOARD OF MEDICAL EXAMINERS

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »