PROMED MANAGEMENT SERVICES ORGANIZATION, LP – NPI #1386575728
Clinic/Center

PROMED MANAGEMENT SERVICES ORGANIZATION, LP is an AHC clinic located in ARLINGTON, TX. NPPES recently assigned the NPI number 1386575728 to PROMED MANAGEMENT SERVICES ORGANIZATION, LP on May 26, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 PROMED MANAGEMENT SERVICES ORGANIZATION, LP below.

NPI Profile for
PROMED MANAGEMENT SERVICES ORGANIZATION, LP

NPI Number
1386575728
Enumeration Date

(about a week 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
PROMED MANAGEMENT SERVICES ORGANIZATION, LP
Other name(s)
All associated names:
Doing Business As (dba)
ProMED Longevity & Primary Care
Doing Business As (dba)
ProMED Primary Care
Primary location
4201 INTERWAY PL
ARLINGTON, TX 76018-5668
Phone: (817) 438-6776 Fax: (469) 663-5516
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARC DEMYUN
MEDICAL DIRECTOR
Phone: (570) 690-3451
Updated
Certification Date
May 26, 2026

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
261QP2300X
- Clinic/Center / Primary Care (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.