Provider Demographics
NPI:1447793708
Name:THE EMERGENCY CENTER OF ARLINGTON, LLC
Entity type:Organization
Organization Name:THE EMERGENCY CENTER OF ARLINGTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-732-3317
Mailing Address - Street 1:70 S VAL VISTA DR STE A3-620
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-0942
Mailing Address - Country:US
Mailing Address - Phone:888-732-3317
Mailing Address - Fax:
Practice Address - Street 1:3321 S COOPER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2345
Practice Address - Country:US
Practice Address - Phone:877-336-6898
Practice Address - Fax:877-336-6898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care