OrganizationActive
Cleanslate Medical Group of Texas PLLC
NPI 1487192522 · Addiction Medicine (Internal Medicine) Physician · Arlington, TX
Provider details
- NPI number
- 1487192522
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Amick, Director(727) 798-8160
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
2912 Kraft St Ste 30
Arlington, TX 76010-5410
Phone: (413) 584-2173
Approximate (ZIP-level) locationGet directions
Mailing address
8 Cadillac Dr Ste 180
Brentwood, TN 37027-5393
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.