MEDICO MD – NPI #1922573179
Clinic/Center

MEDICO MD is an AHC clinic located in FORT WORTH, TX. NPPES has assigned the NPI number 1922573179 to MEDICO MD on October 03, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICO MD” is a dba name, the actual legal business name for this organization is OPEN ARMS HEALTHCARE OF TEXAS INC.. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 4 years ago on Jan 26, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICO MD below.

NPI Profile for
OPEN ARMS HEALTHCARE OF TEXAS INC.

NPI Number
1922573179
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPEN ARMS HEALTHCARE OF TEXAS INC.
Doing Business As (dba): MEDICO MD
Primary location
6302 MEADOWBROOK DR STE 112
FORT WORTH, TX 76112-5163
Phone: (817) 446-0800 Fax: (817) 446-0802
Mailing address
8150 SPRINGWOOD DR # 150B
IRVING, TX 75063-5810
Phone: (214) 396-7397 Fax: (214) 396-7397
Organization Subpart
No
Authorized Official
ANDREA CARRILLO
REGIONAL DIRECTOR
Phone: (817) 446-0800
Updated
Certification Date
Jan 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.