P Praxis·MD
● Active Type 2 · Organization

Cerulean Koi Llc

Clinic/Center·Arlington, TX· NPI 1700624004 · Enumerated 2024 · 1 years on NPI
Cerulean Koi Llc is 1 of 674 clinic/center organizations in Texas.
NPI age
1 years
Enumerated 2024-07-19
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bynaum
Owner
Last NPPES update
2024-07-19
Source: monthly bulk 2026-05

How this organization compares

Across 674 active clinic/center providers in Texas.

NPI age
1 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
110 W Randol Mill Rd Ste 243
Arlington, TX 760114611
📞 6824773756fax 4698334712
Mailing address
110 W Randol Mill Rd Ste 243
Arlington, TX 760114611
📞 6824773756fax 4698334712

Authorized official

Brenda Bynaum
Owner
📞 6824773756

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QH0100X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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