Central Park Ear Nose and Throat LLP
NPI 1033264635 · Otolaryngology Physician · Arlington, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1033264635
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Blake, Chief Executive Officer(817) 261-9191
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1005 York DrDesoto, TX 75115-2083Phone: (817) 261-9191
- 2210 San Jacinto Blvd Ste 2Denton, TX 76205-7531Phone: (817) 261-9191
- 3324 Colorado Blvd Ste 103Denton, TX 76210-6891Phone: (940) 891-1788
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.