Provider Demographics
NPI:1982933305
Name:ANJANI AMIN, MD, PA
Entity type:Organization
Organization Name:ANJANI AMIN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANJANI
Authorized Official - Middle Name:NARENDRA
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-891-8088
Mailing Address - Street 1:3606 DOOLITTLE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3486
Mailing Address - Country:US
Mailing Address - Phone:817-891-8088
Mailing Address - Fax:817-419-3273
Practice Address - Street 1:1110 E BARDIN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1212
Practice Address - Country:US
Practice Address - Phone:817-468-9600
Practice Address - Fax:817-468-9606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0342261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care