Provider Demographics
NPI:1568007284
Name:ARLINGTON PEDIATRIC PARTNERS PLLC
Entity Type:Organization
Organization Name:ARLINGTON PEDIATRIC PARTNERS PLLC
Other - Org Name:KIDS DOCS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-275-8131
Mailing Address - Street 1:2624 MATLOCK RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2525
Mailing Address - Country:US
Mailing Address - Phone:817-275-8131
Mailing Address - Fax:817-795-9700
Practice Address - Street 1:2624 MATLOCK RD STE 110
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2525
Practice Address - Country:US
Practice Address - Phone:817-275-8131
Practice Address - Fax:817-795-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX405396902Medicaid
TX405396903Medicaid
TX405396901Medicaid