1215071832 NPI number — MSPF II ARLINGTON OE, L.P.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215071832 NPI number — MSPF II ARLINGTON OE, L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MSPF II ARLINGTON OE, L.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215071832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3811 TURTLE CREEK BLVD
Provider Second Line Business Mailing Address:
SUITE 1850
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75219-4402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-651-4050
Provider Business Mailing Address Fax Number:
214-651-4001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3033 WEST GREEN OAKS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-222-6000
Provider Business Practice Location Address Fax Number:
817-417-1737
Provider Enumeration Date:
02/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RONCK
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
214-651-4050

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  120545 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 102993 . This is a "FACILITY ID NO." identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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