Kimberly Udell D.O., P.A.

LBN: Kimberly Udell D.O., P.A.
Kimberly Udell D.O., P.A. is an health care organization with primary practice located at 3602 Matlock Rd Ste 206 , Arlington TX 76015-3600. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kimberly Udell D.O., P.A. can be contacted via phone (817) 468-1506, or through Udell, Kimberly via phone (817) 468-1506.

Contact Information

Primary practice address
3602 Matlock Rd Ste 206 Arlington TX 76015-3600
Fax: (817) 468-1520
Website:
Authorized official contact:
Name: Udell, Kimberly Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L1225 Texas

Profile Details

NPI number 1013103191
LBN Legal business name Kimberly Udell D.O., P.A.
DBA Doing business as
Authorized official Udell, Kimberly Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2007
Last updated Jan 13th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013103191 NPPES
Texas MEDICAID 165666201
Texas Other 8P5630

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