Provider Demographics
NPI:1346570710
Name:ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL, LLC
Entity Type:Organization
Organization Name:ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL, LLC
Other - Org Name:BAYLOR SCOTT & WHITE ORTHOPEDIC AND SPINE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER/AUTHORIDED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-343-0832
Mailing Address - Street 1:707 HIGHLANDER BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4319
Mailing Address - Country:US
Mailing Address - Phone:817-583-7100
Mailing Address - Fax:817-549-2364
Practice Address - Street 1:707 HIGHLANDER BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4319
Practice Address - Country:US
Practice Address - Phone:817-583-7100
Practice Address - Fax:817-549-2364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-0067Medicare PIN