Provider Demographics
NPI:1639656325
Name:OPEN ARMS HEALTHCARE OF TEXAS INC.
Entity Type:Organization
Organization Name:OPEN ARMS HEALTHCARE OF TEXAS INC.
Other - Org Name:MEDICO MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-253-5834
Mailing Address - Street 1:8150 SPRINGWOOD DR # 150B
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5810
Mailing Address - Country:US
Mailing Address - Phone:469-253-5834
Mailing Address - Fax:
Practice Address - Street 1:8150 SPRINGWOOD DR # 150B
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-5810
Practice Address - Country:US
Practice Address - Phone:469-253-5834
Practice Address - Fax:469-253-5834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2606207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty