NPI age
9 years
Enumerated 2017-02-09
● Active Type 2 · Organization
Cleanslate Medical Group Of Texas Pllc
Cleanslate Medical Group Of Texas Pllc is 1 of 19 internal medicine organizations in Texas.
Primary specialty
Internal Medicine
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Amick
Director
Last NPPES update
2023-03-23
Source: monthly bulk 2026-05
How this organization compares
Across 19 active internal medicine providers in Texas.
NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 57% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2912 Kraft St Ste 30
Arlington, TX 760105410
Mailing address
8 Cadillac Dr Ste 180
Brentwood, TN 370275393
Authorized official
Jessica Amick
Director
📞 7277988160
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Lawrence Carter, LCDC Counselor NPI 1831859701
- Kenneth Dority, D.O. Family Medicine NPI 1659313328
Specialties
-
Internal Medicine PrimaryAn 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...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterDefinition to come...
-
Clinic/CenterDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.