CLEANSLATE MEDICAL GROUP OF TEXAS PLLC
NPI 1487192522
Internal Medicine - Addiction Medicine in Arlington, TX

Q: What is Cleanslate Medical Group Of Texas PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since February 09, 2017

2912 KRAFT ST STE 30, ARLINGTON, TX 76010(413) 584-2173 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2023, Jul 26, 2022, Jul 18, 2022 and 3 more (6 updates tracked since 2017).

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About Cleanslate Medical Group Of Texas Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEANSLATE MEDICAL GROUP OF TEXAS PLLC (NPI 1487192522) is a healthcare organization registered as an addiction medicine in Arlington, Texas and active in the NPI registry since February 2017. The organization lists Jessica Amick, Director, as its authorized official.

NPPES Registry Identity

NPI1487192522

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameCLEANSLATE MEDICAL GROUP OF TEXAS PLLC

Location Address2912 KRAFT ST STE 30Arlington, TX 76010-5410

Mailing Address8 Cadillac Dr Ste 180Brentwood, TN 37027-5393 · (154) 250-0220

Phone(413) 584-2173

Organization SubpartNo

Authorized OfficialJessica AmickDirector · (727) 798-8160

Enumeration DateFebruary 9, 2017

Last NPPES UpdateMarch 23, 20236 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1487192522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

2912 KRAFT ST STE 30, Arlington, TX 76010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, WellPoint.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH RONALD DORITY D.O.

Family Medicine

2912 KRAFT ST STE 30
ARLINGTON, TX 76010

Tarrant County (402) 885-0365

MR. LAWRENCE CARTER LCDC

Counselor (Addiction (Substance Use Disorder))

2912 KRAFT ST STE 30
ARLINGTON, TX 76010

Tarrant County (817) 522-5138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleanslate Medical Group Of Texas PLLC's NPI number?

The NPI number for Cleanslate Medical Group Of Texas PLLC is 1487192522. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Cleanslate Medical Group Of Texas PLLC located?

Cleanslate Medical Group Of Texas PLLC is located at 2912 Kraft St Ste 30, Arlington, TX 76010. The listed phone number is (413) 584-2173.

What is Cleanslate Medical Group Of Texas PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

What insurance does Cleanslate Medical Group Of Texas PLLC accept?

Health plans from Molina Healthcare and WellPoint list Cleanslate Medical Group Of Texas PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleanslate Medical Group Of Texas PLLC was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.