PURPLE HEARTS PRIMARY CARE SERVICES, PLLC (NPI# 1043703358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043703358 |
| Entity Type | Organization |
| Organization Name | PURPLE HEARTS PRIMARY CARE SERVICES, PLLC |
| Other Organization Name | PURPLE HEARTS PRIMARY CARE SERVICES |
| Practice Address |
3901 Arlington Highlands Blvd Ste 200 Arlington TX 76018 |
| Mailing Address |
3901 Arlington Highlands Blvd Ste 281 Arlington TX 76018-6036 |
| Practice Telephone | 8176955035 |
| Mailing Telephone | 8179694651 |
| Mailing Fax Number | 2147102188 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-05-16 |
| Authorized Official Name | MS. RAVEN MODISETTE (CEO) |
| Authorized Official Telephone | 8179694651 |
| Authorized Official Credential | FNP-C,PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP137299 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Purple Hearts Primary Care Services | Former Legal Business Name - Organization |
| Street Address |
3901 ARLINGTON HIGHLANDS BLVD STE 200 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578090957 | C-port LLC - Series B Hospice | Hospice Care, Community Based | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2017-05-17 |
| 1184258741 | Caremate Wellness Solutions | Non-emergency Medical Transport (VAN) | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2020-02-23 |
| 1770060691 | Elite Psychiatry PC | Psychiatry & Neurology | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2018-07-24 |
| 1952888265 | Elite Psychiatry PC | Psychiatry & Neurology | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2018-07-20 |
| 1356862726 | Stella Delgadillo | Registered Nurse | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2017-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653460 | Tracy Lynn Arion | Counselor | 520 West Way Place, Arlington, TX 76018 | 2019-01-16 |
| 1932695921 | Oliver's Residential Care,llc | Assisted Living Facility | 2127 Merritt Way, Arlington, TX 76018 | 2018-07-03 |
| 1396267589 | Melissa Cejas | Counselor | 320 Westway Place Suite, 530, Arlington, TX 76018 | 2017-07-10 |
| 1568992832 | Amber Lynn Bollinger | Counselor | 320 Westway Place, 530, Arlington, TX 76018 | 2017-06-19 |
| 1689116832 | Medi Weightloss | Clinic/Center | 4000 Five Points Blvd., Suite 169, Arlington, TX 76018 | 2016-11-04 |
| 1477937878 | Galal Hassan | Non-emergency Medical Transport (VAN) | 601 Bristlecone Drive, Arlington, TX 76018 | 2015-07-15 |
| 1235541582 | Back On Track Chiropractic Center | Chiropractor | 4927 S Collins St., Suite 105, Arlington, TX 76018 | 2014-05-21 |
| 1144563354 | Thomas Hong | Anesthesiology | 2001 Se Green Oaks Blvd Ste 130, Arlington, TX 76018 | 2013-04-05 |
| 1770822710 | American Current Care Pa | Clinic/Center | 511 Interstate 20 E, Arlington, TX 76018 | 2013-02-12 |
| 1407105141 | Thriving Hearts Care Services Inc | Home Health | 6207 Brookknoll Drive, Arlington, TX 76018 | 2012-09-07 |
| Find all providers in zip 76018 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047666 | Np Healthcare Associates, LLC | Clinic/Center | 1901 Southeast Pkwy Ste 101, Arlington, TX 76018-3605 | 2020-09-11 |
| 1972154656 | Careatc | Clinic/Center | 3050 S Center St Ste 130, Arlington, TX 76014-2154 | 2019-09-24 |
| 1942710256 | Evergreen Testosterone Clinic & Primary Care | Clinic/Center | 619 Matlock Centre Cir, Arlington, TX 76015-2535 | 2017-10-02 |
| 1588102743 | Hope In My Hands, Inc. | Clinic/Center | 1117 W Pioneer Pkwy Ste 120, Arlington, TX 76013-6397 | 2017-02-08 |
| 1194124685 | Paul Thompson Pa | Clinic/Center | 2000 E Lamar, Suite 155, Arlington, TX 76006 | 2014-08-20 |
| 1720343692 | Meddok Preventive Medicine Clinic | Clinic/Center | 1216 Florida Dr # 120, Arlington, TX 76015-2387 | 2012-07-06 |
| 1033425376 | Paula Jacqueline Clarke | Clinic/Center | 47 Melrose St, Arlington, MA 02474-8503 | 2010-08-24 |
| 1982933305 | Anjani Amin, Md, Pa | Clinic/Center | 1110 E Bardin Rd, Suite 100, Arlington, TX 76018-1212 | 2009-12-14 |
| 1629275003 | Arlington Family Practice, Inc. | Clinic/Center | 906 N. Main Street, Arlington, OH 45814-0319 | 2007-06-29 |
| 1588129167 | Clinic for Less Home Visit | Clinic/Center | 2000 E Lamar Blvd Ste 600, Arlington, TX 76006-7361 | 2019-02-07 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.