| Clinical Medicine Institute Pa | |
|
3148 Matlock Rd Suite 501 Arlington TX 76015-2991 | |
| (817) 557-6227 | |
| (817) 557-6247 |
| Full Name | Clinical Medicine Institute Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3148 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Donald Ferguson (PHYSICIAN) |
| Authorized Official Contact | 8175576227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Medicine Institute Pa 3148 Matlock Rd Suite 501 Arlington TX 76015-2991 Ph: (817) 557-6227 | Clinical Medicine Institute Pa 3148 Matlock Rd Suite 501 Arlington TX 76015-2991 Ph: (817) 557-6227 |
| NPI Number | 1033302096 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 08/23/2007 |
| Medicare PECOS PAC ID | 5496760944 |
|---|---|
| Medicare Enrollment ID | O20060220000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033302096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lorna Lim Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639286966 PECOS PAC ID: 9931172582 Enrollment ID: I20040813000019 |
| Provider Name | Donald W Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558478875 PECOS PAC ID: 6406817519 Enrollment ID: I20041021001109 |
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