Provider Demographics
NPI:1598006405
Name:ARLINGTON INJURY CLINIC LLC
Entity Type:Organization
Organization Name:ARLINGTON INJURY CLINIC LLC
Other - Org Name:ARLINGTON INJURY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-465-7246
Mailing Address - Street 1:3415 S COLLINS ST
Mailing Address - Street 2:STE 105
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3262
Mailing Address - Country:US
Mailing Address - Phone:817-465-7246
Mailing Address - Fax:817-400-5185
Practice Address - Street 1:3415 S COLLINS ST
Practice Address - Street 2:STE 105
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3262
Practice Address - Country:US
Practice Address - Phone:817-465-7246
Practice Address - Fax:817-400-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty