Provider Demographics
NPI:1124558796
Name:ARETE MEDICAL GROUP
Entity Type:Organization
Organization Name:ARETE MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHON
Authorized Official - Middle Name:D
Authorized Official - Last Name:OREAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-484-0233
Mailing Address - Street 1:2700 TIBBETS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5938
Mailing Address - Country:US
Mailing Address - Phone:817-484-0233
Mailing Address - Fax:803-203-8702
Practice Address - Street 1:2700 TIBBETS DR STE 300
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5938
Practice Address - Country:US
Practice Address - Phone:817-484-0233
Practice Address - Fax:803-203-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty