Provider Demographics
NPI:1881886828
Name:NORTH TEXAS INTERNAL MEDICINE ASSOCIATES PA
Entity type:Organization
Organization Name:NORTH TEXAS INTERNAL MEDICINE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-460-1833
Mailing Address - Street 1:901-B MEDICAL CENTRE DR.
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4700
Mailing Address - Country:US
Mailing Address - Phone:817-460-1833
Mailing Address - Fax:817-460-1835
Practice Address - Street 1:901-B MEDICAL CENTRE DR.
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4700
Practice Address - Country:US
Practice Address - Phone:817-460-1833
Practice Address - Fax:817-460-1835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1278293-05Medicaid
TX4582186004OtherCIGNA
TX010024582OtherRRMCR
TX8J3449OtherBCBS
TX1033786OtherAETNA
TX0005KGMedicare PIN
TXD87490Medicare UPIN