Individual
VIVEK MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W RANDOL MILL RD, ARLINGTON, TX 76011-5857
(214) 552-4284
(888) 488-0755
Mailing address
201 W RANDOL MILL RD, ARLINGTON, TX 76011-5857
(214) 552-4284
(888) 488-0755
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME82325
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME82325
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N0271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194677401
—
TX
05
—
2644649-00
—
FL
01
—
8BC072
BCBS OF TEXAS
TX
01
—
TIN PLUS SUFFIX 091
TRICARE
TX
01
—
TIN PLUS SUFFIX 103
TRICARE
TX
Enumeration date
08/02/2006
Last updated
09/17/2015
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