# ROADWAY PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851185433
- **Authorized official:** MRS. SHANTAU VALENTINE NP (MANAGER)
- **Authorized official phone:** (945) 954-0574

## Contact information

- **Practice address:** 910 N DAVIS DR STE 100, ARLINGTON, TX 76012-3200
- **Practice address phone:** (945) 954-0574
- **Practice address fax:** (972) 957-5215
- **Mailing address:** 910 N DAVIS DR STE 100, ARLINGTON, TX 76012-3200
- **Mailing address phone:** (945) 954-0574
- **Mailing address fax:** (972) 957-5215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2025
- **Last updated:** 06/19/2025