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
Phone: (817) 468-1506
Fax: (817) 468-1520
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013103191 | NPPES |
Texas | MEDICAID | 165666201 | |
Texas | Other | 8P5630 |
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